How much rates vary
Facilitymedian $1,380 · 10th to 90th $30 to $1,698Professionalmedian $1,148 · 10th to 90th $30 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 $30.20 Median $1,380.38 Typical High $1,737.80 | Facility | None | $30.20 | $1,380.38 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,445.44 | Professional | None | $30.20 | $30.20 | $1,445.44 |
Capital Blue Cross Setting Professional Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,621.81 | Professional | None | $645.65 | $1,202.26 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,513.56 | Professional | None | $758.58 | $1,000.00 | $1,513.56 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $1,548.82 Typical High $2,754.23 | Professional | None | $389.05 | $1,548.82 | $2,754.23 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $1,380.38 Typical High $1,698.24 | Facility | None | $30.20 | $1,380.38 | $1,698.24 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,380.38 | Professional | None | $30.20 | $30.20 | $1,380.38 |
Oscar Health Setting Professional Modifier None Typical Low $18.20 Median $36.31 Typical High $77.62 | Professional | None | $18.20 | $36.31 | $77.62 |
United Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $154.88 | Professional | None | $39.81 | $70.79 | $154.88 |
7 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 |
|---|---|---|---|---|---|
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $446.68 Median $1,000.00 Typical High $1,479.11 | Professional | AA · Anesthesiologist | $446.68 | $1,000.00 | $1,479.11 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $446.68 Median $1,000.00 Typical High $1,479.11 | Professional | AD · Supervising 5+ | $446.68 | $1,000.00 | $1,479.11 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $446.68 Median $1,000.00 Typical High $1,479.11 | Professional | QK · Directing 2–4 cases | $446.68 | $1,000.00 | $1,479.11 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $446.68 Median $1,000.00 Typical High $1,479.11 | Professional | QX · CRNA, directed | $446.68 | $1,000.00 | $1,479.11 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $446.68 Median $1,000.00 Typical High $1,479.11 | Professional | QY · Directing one CRNA | $446.68 | $1,000.00 | $1,479.11 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $446.68 Median $1,000.00 Typical High $1,479.11 | Professional | QZ · CRNA, independent | $446.68 | $1,000.00 | $1,479.11 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | AA · Anesthesiologist | $1,318.26 | $1,318.26 | $1,318.26 |