How much rates vary
Facilitymedian $1,023 · 10th to 90th $30 to $1,259Professionalmedian $832 · 10th to 90th $30 to $1,175
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 $1,023.29 Typical High $1,258.93 | Facility | None | $30.20 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,071.52 | Professional | None | $30.20 | $30.20 | $1,071.52 |
Capital Blue Cross Setting Professional Modifier None Typical Low $478.63 Median $891.25 Typical High $1,174.90 | Professional | None | $478.63 | $891.25 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,096.48 | Professional | None | $549.54 | $707.95 | $1,096.48 |
Emblem Health Setting Professional Modifier None Typical Low $269.15 Median $1,122.02 Typical High $2,041.74 | Professional | None | $269.15 | $1,122.02 | $2,041.74 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $1,023.29 Typical High $1,258.93 | Facility | None | $30.20 | $1,023.29 | $1,258.93 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,023.29 | Professional | None | $30.20 | $30.20 | $1,023.29 |
Oscar Health Setting Professional Modifier None Typical Low $12.88 Median $31.62 Typical High $77.62 | Professional | None | $12.88 | $31.62 | $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 $323.59 Median $741.31 Typical High $1,096.48 | Professional | AA · Anesthesiologist | $323.59 | $741.31 | $1,096.48 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $323.59 Median $741.31 Typical High $1,096.48 | Professional | AD · Supervising 5+ | $323.59 | $741.31 | $1,096.48 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $323.59 Median $741.31 Typical High $1,096.48 | Professional | QK · Directing 2–4 cases | $323.59 | $741.31 | $1,096.48 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $323.59 Median $741.31 Typical High $1,096.48 | Professional | QX · CRNA, directed | $323.59 | $741.31 | $1,096.48 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $323.59 Median $741.31 Typical High $1,096.48 | Professional | QY · Directing one CRNA | $323.59 | $741.31 | $1,096.48 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $323.59 Median $741.31 Typical High $1,096.48 | Professional | QZ · CRNA, independent | $323.59 | $741.31 | $1,096.48 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $1,258.93 | $1,258.93 | $1,258.93 |