How much rates vary
Facilitymedian $191 · 10th to 90th $191 to $191Professionalmedian $525 · 10th to 90th $42 to $2,630
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 $41.69 Median $50.12 Typical High $588.84 | Facility | None | $41.69 | $50.12 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $794.33 | Professional | None | $41.69 | $50.12 | $794.33 |
BCBS Texas Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $977.24 | Professional | None | $446.68 | $549.54 | $977.24 |
Baylor Scott & White Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $870.96 | Professional | None | $489.78 | $630.96 | $870.96 |
Christus Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $831.76 | Professional | None | $478.63 | $524.81 | $831.76 |
Health Smart Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $776.25 | Professional | None | $512.86 | $630.96 | $776.25 |
Lucent Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $7,079.46 | Professional | None | $2,630.27 | $2,630.27 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $457.09 Typical High $588.84 | Facility | None | $41.69 | $457.09 | $588.84 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $794.33 | Professional | None | $41.69 | $50.12 | $794.33 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $851.14 | Professional | None | $169.82 | $223.87 | $851.14 |
Oscar Health Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $54.95 | Professional | None | $17.38 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $794.33 | Professional | None | $478.63 | $524.81 | $794.33 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
8 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 $1,230.27 Median $1,445.44 Typical High $1,445.44 | Professional | AA · Anesthesiologist | $1,230.27 | $1,445.44 | $1,445.44 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $204.17 Median $588.84 Typical High $676.08 | Professional | QK · Directing 2–4 cases | $204.17 | $588.84 | $676.08 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $158.49 Median $588.84 Typical High $676.08 | Professional | QX · CRNA, directed | $158.49 | $588.84 | $676.08 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $1,479.11 Median $1,737.80 Typical High $1,737.80 | Professional | QZ · CRNA, independent | $1,479.11 | $1,737.80 | $1,737.80 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $47.86 Median $117.49 Typical High $245.47 | Professional | AA · Anesthesiologist | $47.86 | $117.49 | $245.47 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $26.92 Median $83.18 Typical High $338.84 | Professional | P3 · Severe systemic disease | $26.92 | $83.18 | $338.84 |
Moda Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $64.57 Median $72.44 Typical High $97.72 | Professional | QK · Directing 2–4 cases | $64.57 | $72.44 | $97.72 |
Moda Health Setting Professional Modifier QX · CRNA, directed Typical Low $45.71 Median $75.86 Typical High $165.96 | Professional | QX · CRNA, directed | $45.71 | $75.86 | $165.96 |