How much rates vary
Facilitymedian $851 · 10th to 90th $48 to $1,122Professionalmedian $501 · 10th to 90th $47 to $776
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 $870.96 Typical High $1,122.02 | Facility | None | $51.29 | $870.96 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $933.25 | Professional | None | $47.86 | $47.86 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $776.25 | Professional | None | $562.34 | $562.34 | $776.25 |
CareSource Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $436.52 | Professional | None | $134.90 | $147.91 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $912.01 | Professional | None | $371.54 | $562.34 | $912.01 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $10.47 Median $144.54 Typical High $1,659.59 | Facility | None | $10.47 | $144.54 | $1,659.59 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $812.83 | Professional | None | $346.74 | $501.19 | $812.83 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $173.78 | Professional | None | $52.48 | $93.33 | $173.78 |
SummaCare Setting Professional Modifier None Typical Low $213.80 Median $501.19 Typical High $741.31 | Professional | None | $213.80 | $501.19 | $741.31 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
4 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 $257.04 Median $741.31 Typical High $741.31 | Professional | QK · Directing 2–4 cases | $257.04 | $741.31 | $741.31 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $257.04 Median $741.31 Typical High $741.31 | Professional | QX · CRNA, directed | $257.04 | $741.31 | $741.31 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $338.84 Median $524.81 Typical High $524.81 | Professional | QZ · CRNA, independent | $338.84 | $524.81 | $524.81 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $776.25 Median $1,348.96 Typical High $1,659.59 | Professional | QZ · CRNA, independent | $776.25 | $1,348.96 | $1,659.59 |