How much rates vary
Facilitymedian $48 · 10th to 90th $48 to $214Professionalmedian $129 · 10th to 90th $48 to $269
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 $218.78 | Facility | None | $47.86 | $47.86 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $281.84 | Professional | None | $40.74 | $47.86 | $281.84 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | QX · CRNA, directed | $70.79 | $87.10 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $147.91 Typical High $234.42 | Professional | None | $85.11 | $147.91 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $95.50 Typical High $190.55 | Facility | None | $41.69 | $95.50 | $190.55 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $165.96 | Professional | None | $41.69 | $79.43 | $165.96 |
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 $134.90 Median $199.53 Typical High $524.81 | Professional | None | $134.90 | $199.53 | $524.81 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | None | $162.18 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | None | $43.65 | $53.70 | $70.79 |
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 AD · Supervising 5+ Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | AD · Supervising 5+ | $173.78 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $70.79 Median $151.36 Typical High $151.36 | Professional | QK · Directing 2–4 cases | $70.79 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $162.18 Typical High $181.97 | Professional | QZ · CRNA, independent | $141.25 | $162.18 | $181.97 |