How much rates vary
Facilitymedian $1,023 · 10th to 90th $646 to $1,622Professionalmedian $52 · 10th to 90th $22 to $1,479
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 $645.65 Median $1,023.29 Typical High $1,621.81 | Facility | None | $645.65 | $1,023.29 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $1,000.00 Typical High $1,621.81 | Professional | None | $50.12 | $1,000.00 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $1,479.11 | Professional | None | $1,288.25 | $1,380.38 | $1,479.11 |
Hally Health Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,479.11 | Professional | None | $758.58 | $891.25 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $4,073.80 | Professional | None | $45.71 | $61.66 | $4,073.80 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $30.20 Typical High $47.86 | Professional | None | $19.50 | $30.20 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,230.27 | $1,230.27 | $1,548.82 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | QX · CRNA, directed | $776.25 | $776.25 | $776.25 |