How much rates vary
Facilitymedian $437 · 10th to 90th $30 to $537Professionalmedian $363 · 10th to 90th $30 to $513
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 $436.52 Typical High $537.03 | Facility | None | $30.20 | $436.52 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $457.09 | Professional | None | $30.20 | $30.20 | $457.09 |
AmeriHealth Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $602.56 | Professional | None | $389.05 | $407.38 | $602.56 |
Capital Blue Cross Setting Professional Modifier None Typical Low $204.17 Median $380.19 Typical High $512.86 | Professional | None | $204.17 | $380.19 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $426.58 | Professional | None | $208.93 | $275.42 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $107.15 Median $489.78 Typical High $870.96 | Professional | None | $107.15 | $489.78 | $870.96 |
Independence Blue Cross Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | None | $389.05 | $389.05 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $436.52 Typical High $537.03 | Facility | None | $30.20 | $436.52 | $537.03 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $436.52 | Professional | None | $30.20 | $30.20 | $436.52 |
Oscar Health Setting Professional Modifier None Typical Low $5.01 Median $30.20 Typical High $77.62 | Professional | None | $5.01 | $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 |
7 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 |
|---|---|---|---|---|---|
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $141.25 Median $309.03 Typical High $457.09 | Professional | AA · Anesthesiologist | $141.25 | $309.03 | $457.09 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $141.25 Median $309.03 Typical High $457.09 | Professional | AD · Supervising 5+ | $141.25 | $309.03 | $457.09 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $141.25 Median $309.03 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $141.25 | $309.03 | $457.09 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $141.25 Median $309.03 Typical High $457.09 | Professional | QX · CRNA, directed | $141.25 | $309.03 | $457.09 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $141.25 Median $309.03 Typical High $457.09 | Professional | QY · Directing one CRNA | $141.25 | $309.03 | $457.09 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $309.03 Typical High $457.09 | Professional | QZ · CRNA, independent | $141.25 | $309.03 | $457.09 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $851.14 Median $1,288.25 Typical High $2,511.89 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $851.14 | $1,288.25 | $2,511.89 |