How much rates vary
Facilitymedian $1,288 · 10th to 90th $794 to $1,380Professionalmedian $71 · 10th to 90th $48 to $1,380
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 $794.33 Median $1,288.25 Typical High $1,380.38 | Facility | None | $794.33 | $1,288.25 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $794.33 Typical High $1,380.38 | Professional | None | $50.12 | $794.33 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,122.02 Typical High $2,137.96 | Professional | None | $724.44 | $1,122.02 | $2,137.96 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $95.50 | Professional | None | $44.67 | $60.26 | $95.50 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $2,041.74 Median $2,290.87 Typical High $2,951.21 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $2,041.74 | $2,290.87 | $2,951.21 |