How much rates vary
Facilitymedian $288 · 10th to 90th $288 to $288Professionalmedian $759 · 10th to 90th $42 to $3,802
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 $851.14 | Facility | None | $41.69 | $50.12 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $1,148.15 | Professional | None | $41.69 | $50.12 | $1,148.15 |
BCBS Texas Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,479.11 | Professional | None | $630.96 | $831.76 | $1,479.11 |
Baylor Scott & White Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,096.48 | Professional | None | $575.44 | $724.44 | $1,096.48 |
Christus Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,258.93 | Professional | None | $724.44 | $776.25 | $1,258.93 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $676.08 Typical High $851.14 | Facility | None | $41.69 | $676.08 | $851.14 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $1,202.26 | Professional | None | $41.69 | $50.12 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $1,202.26 | Professional | None | $257.04 | $338.84 | $1,202.26 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $54.95 | Professional | None | $19.50 | $26.30 | $54.95 |
Providence Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,202.26 | Professional | None | $724.44 | $776.25 | $1,202.26 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
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 $776.25 Median $776.25 Typical High $1,148.15 | Professional | QK · Directing 2–4 cases | $776.25 | $776.25 | $1,148.15 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | QX · CRNA, directed | $776.25 | $776.25 | $776.25 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $1,698.24 Median $1,995.26 Typical High $1,995.26 | Professional | QZ · CRNA, independent | $1,698.24 | $1,995.26 | $1,995.26 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $117.49 Median $169.82 Typical High $257.04 | Professional | AA · Anesthesiologist | $117.49 | $169.82 | $257.04 |