How much rates vary
Facilitymedian $234 · 10th to 90th $48 to $407Professionalmedian $151 · 10th to 90th $44 to $275
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 Facility Modifier None Typical Low $47.86 Median $316.23 Typical High $407.38 | Facility | None | $47.86 | $316.23 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $338.84 | Professional | None | $44.67 | $47.86 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $158.49 | Professional | None | $41.69 | $53.70 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $275.42 | Professional | None | $112.20 | $169.82 | $275.42 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.30 Median $141.25 Typical High $776.25 | Facility | None | $12.30 | $141.25 | $776.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $32.36 Median $112.20 Typical High $218.78 | Professional | None | $32.36 | $112.20 | $218.78 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $52.48 | Professional | None | $28.18 | $52.48 | $52.48 |
SummaCare Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $269.15 | Professional | None | $66.07 | $154.88 | $269.15 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
5 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 AA · Anesthesiologist Typical Low $281.84 Median $588.84 Typical High $1,380.38 | Professional | AA · Anesthesiologist | $281.84 | $588.84 | $1,380.38 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $141.25 Median $141.25 Typical High $371.54 | Professional | QK · Directing 2–4 cases | $141.25 | $141.25 | $371.54 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $69.18 Median $141.25 Typical High $389.05 | Professional | QX · CRNA, directed | $69.18 | $141.25 | $389.05 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $169.82 Typical High $602.56 | Professional | QZ · CRNA, independent | $141.25 | $169.82 | $602.56 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $309.03 Median $416.87 Typical High $676.08 | Professional | QZ · CRNA, independent | $309.03 | $416.87 | $676.08 |