How much rates vary
Facilitymedian $355 · 10th to 90th $30 to $6,166Professionalmedian $234 · 10th to 90th $30 to $339
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 $30.20 Median $295.12 Typical High $363.08 | Facility | None | $30.20 | $295.12 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $295.12 | Professional | None | $30.20 | $30.20 | $295.12 |
AmeriHealth Setting Facility Modifier None Typical Low $3,630.78 Median $5,754.40 Typical High $10,000.00 | Facility | None | $3,630.78 | $5,754.40 | $10,000.00 |
AmeriHealth Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $407.38 | Professional | None | $257.04 | $275.42 | $407.38 |
Capital Blue Cross Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $338.84 | Professional | None | $134.90 | $251.19 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $257.04 | Professional | None | $125.89 | $165.96 | $257.04 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $323.59 Typical High $588.84 | Professional | None | $64.57 | $323.59 | $588.84 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,630.78 Median $5,754.40 Typical High $10,000.00 | Facility | None | $3,630.78 | $5,754.40 | $10,000.00 |
Independence Blue Cross Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $323.59 | Professional | None | $257.04 | $275.42 | $323.59 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $295.12 Typical High $363.08 | Facility | None | $30.20 | $295.12 | $363.08 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $281.84 | Professional | None | $30.20 | $30.20 | $281.84 |
Oscar Health Setting Facility Modifier None Typical Low $4,897.79 Median $5,754.40 Typical High $6,606.93 | Facility | None | $4,897.79 | $5,754.40 | $6,606.93 |
Oscar Health Setting Professional Modifier None Typical Low $3.02 Median $30.20 Typical High $77.62 | Professional | None | $3.02 | $30.20 | $77.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None | $34.67 | $54.95 | $75.86 |
13 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 $158.49 Median $194.98 Typical High $331.13 | Professional | QK · Directing 2–4 cases | $158.49 | $194.98 | $331.13 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $181.97 Median $275.42 Typical High $331.13 | Professional | QX · CRNA, directed | $181.97 | $275.42 | $331.13 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | AA · Anesthesiologist | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | AD · Supervising 5+ | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QK · Directing 2–4 cases | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QX · CRNA, directed | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QY · Directing one CRNA | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QZ · CRNA, independent | $93.33 | $208.93 | $309.03 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $416.87 Median $741.31 Typical High $1,288.25 | Professional | AA · Anesthesiologist | $416.87 | $741.31 | $1,288.25 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $416.87 Median $602.56 Typical High $1,000.00 | Professional | QK · Directing 2–4 cases | $416.87 | $602.56 | $1,000.00 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $380.19 Median $575.44 Typical High $977.24 | Professional | QX · CRNA, directed | $380.19 | $575.44 | $977.24 |
Highmark BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $363.08 Median $512.86 Typical High $1,096.48 | Professional | QY · Directing one CRNA | $363.08 | $512.86 | $1,096.48 |
Highmark BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $263.03 Median $380.19 Typical High $660.69 | Professional | QZ · CRNA, independent | $263.03 | $380.19 | $660.69 |