How much rates vary
Facilitymedian $550 · 10th to 90th $48 to $724Professionalmedian $302 · 10th to 90th $46 to $490
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 $51.29 Median $549.54 Typical High $724.44 | Facility | None | $51.29 | $549.54 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $588.84 | Professional | None | $44.67 | $47.86 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $281.84 | Professional | None | $81.28 | $93.33 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $549.54 | Professional | None | $223.87 | $338.84 | $549.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $19.50 Median $107.15 Typical High $724.44 | Facility | None | $19.50 | $107.15 | $724.44 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $79.43 Median $302.00 Typical High $478.63 | Professional | None | $79.43 | $302.00 | $478.63 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $52.48 Typical High $104.71 | Professional | None | $12.02 | $52.48 | $104.71 |
SummaCare Setting Professional Modifier None Typical Low $128.82 Median $302.00 Typical High $537.03 | Professional | None | $128.82 | $302.00 | $537.03 |
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 $181.97 Median $181.97 Typical High $776.25 | Professional | AA · Anesthesiologist | $181.97 | $181.97 | $776.25 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $112.20 Median $213.80 Typical High $389.05 | Professional | QK · Directing 2–4 cases | $112.20 | $213.80 | $389.05 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $112.20 Median $141.25 Typical High $239.88 | Professional | QX · CRNA, directed | $112.20 | $141.25 | $239.88 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $204.17 Median $223.87 Typical High $309.03 | Professional | QZ · CRNA, independent | $204.17 | $223.87 | $309.03 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $186.21 Median $234.42 Typical High $295.12 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $186.21 | $234.42 | $295.12 |