How much rates vary
Facilitymedian $1,072 · 10th to 90th $692 to $1,698Professionalmedian $48 · 10th to 90th $21 to $1,622
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 $691.83 Median $1,071.52 Typical High $1,698.24 | Facility | None | $691.83 | $1,071.52 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $1,047.13 Typical High $1,698.24 | Professional | None | $50.12 | $1,047.13 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,479.11 | $1,584.89 |
Hally Health Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,548.82 | Professional | None | $812.83 | $954.99 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $31.62 Typical High $47.86 | Professional | None | $19.50 | $31.62 | $47.86 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Wellmark Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,288.25 | $1,621.81 |
1 more rate 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 |
|---|---|---|---|---|---|
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | QX · CRNA, directed | $812.83 | $812.83 | $812.83 |