How much rates vary
Facilitymedian $676 · 10th to 90th $30 to $1,349Professionalmedian $71 · 10th to 90th $30 to $851
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 $676.08 Typical High $1,348.96 | Facility | None | $30.20 | $676.08 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $1,047.13 | Professional | None | $30.20 | $37.15 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $1,122.02 | Professional | None | $446.68 | $501.19 | $1,122.02 |
Oscar Health Setting Professional Modifier None Typical Low $16.60 Median $37.15 Typical High $89.13 | Professional | None | $16.60 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $100.00 | Professional | None | $39.81 | $63.10 | $100.00 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $177.83 Median $1,230.27 Typical High $2,187.76 | Professional | QK · Directing 2–4 cases | $177.83 | $1,230.27 | $2,187.76 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $562.34 Median $1,230.27 Typical High $2,089.30 | Professional | QX · CRNA, directed | $562.34 | $1,230.27 | $2,089.30 |