How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $62 · 10th to 90th $41 to $214
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $239.88 | Professional | None | $44.67 | $61.66 | $239.88 |
BCBS Alabama Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $239.88 | Professional | None | $154.88 | $169.82 | $239.88 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $67.61 | Professional | None | $39.81 | $50.12 | $67.61 |
3 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 QK · Directing 2–4 cases Typical Low $93.33 Median $104.71 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $93.33 | $104.71 | $457.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $74.13 Median $117.49 Typical High $169.82 | Professional | QX · CRNA, directed | $74.13 | $117.49 | $169.82 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | QY · Directing one CRNA | $87.10 | $87.10 | $87.10 |