How much rates vary
Facilitymedian $1,047 · 10th to 90th $1,047 to $1,047Professionalmedian $66 · 10th to 90th $10 to $1,047
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,047.13 | Professional | None | $831.76 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $1,122.02 | Professional | None | $338.84 | $549.54 | $1,122.02 |
United Setting Professional Modifier None Typical Low $30.20 Median $75.86 Typical High $75.86 | Professional | None | $30.20 | $75.86 | $75.86 |
University Health Alliance Setting Professional Modifier None Typical Low $10.00 Median $48.98 Typical High $66.07 | Professional | None | $10.00 | $48.98 | $66.07 |
2 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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier QK · Directing 2–4 cases Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | QK · Directing 2–4 cases | $2.29 | $2.29 | $2.29 |
HMSA Setting Professional Modifier QY · Directing one CRNA Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | QY · Directing one CRNA | $2.45 | $2.45 | $2.45 |