How much rates vary
Facilitymedian $891 · 10th to 90th $891 to $891Professionalmedian $66 · 10th to 90th $10 to $891
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | None | $758.58 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $831.76 | Professional | None | $707.95 | $831.76 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $954.99 | Professional | None | $295.12 | $478.63 | $954.99 |
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 AA · Anesthesiologist Typical Low $4.68 Median $4.68 Typical High $4.90 | Professional | AA · Anesthesiologist | $4.68 | $4.68 | $4.90 |
HMSA Setting Professional Modifier QS · Monitored anesthesia care Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | QS · Monitored anesthesia care | $4.90 | $4.90 | $4.90 |