How much rates vary
Facilitymedian $62 · 10th to 90th $48 to $589Professionalmedian $407 · 10th to 90th $48 to $759
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $602.56 | Facility | None | $47.86 | $47.86 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $776.25 | Professional | None | $44.67 | $47.86 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $407.38 Typical High $645.65 | Professional | None | $234.42 | $407.38 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $263.03 Typical High $524.81 | Facility | None | $131.83 | $263.03 | $524.81 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $218.78 Typical High $457.09 | Professional | None | $128.82 | $218.78 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $1,445.44 | Professional | None | $446.68 | $660.69 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $549.54 | Professional | None | $537.03 | $549.54 | $549.54 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | None | $43.65 | $53.70 | $70.79 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | AD · Supervising 5+ | $239.88 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | QK · Directing 2–4 cases | $229.09 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | QX · CRNA, directed | $229.09 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | QZ · CRNA, independent | $776.25 | $776.25 | $776.25 |