How much rates vary
Facilitymedian $1,318 · 10th to 90th $30 to $1,622Professionalmedian $1,072 · 10th to 90th $30 to $1,514
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 $1,318.26 Typical High $1,621.81 | Facility | None | $30.20 | $1,318.26 | $1,621.81 |
Aetna 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 |
Capital Blue Cross Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $1,513.56 | Professional | None | $616.60 | $1,148.15 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,445.44 | Professional | None | $707.95 | $933.25 | $1,445.44 |
Emblem Health Setting Professional Modifier None Typical Low $363.08 Median $1,445.44 Typical High $2,630.27 | Professional | None | $363.08 | $1,445.44 | $2,630.27 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $1,318.26 Typical High $1,621.81 | Facility | None | $30.20 | $1,318.26 | $1,621.81 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,318.26 | Professional | None | $30.20 | $30.20 | $1,318.26 |
Oscar Health Setting Professional Modifier None Typical Low $16.98 Median $35.48 Typical High $77.62 | Professional | None | $16.98 | $35.48 | $77.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None | $34.67 | $54.95 | $75.86 |
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 $416.87 Median $954.99 Typical High $1,412.54 | Professional | AA · Anesthesiologist | $416.87 | $954.99 | $1,412.54 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $416.87 Median $954.99 Typical High $1,412.54 | Professional | AD · Supervising 5+ | $416.87 | $954.99 | $1,412.54 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $416.87 Median $954.99 Typical High $1,412.54 | Professional | QK · Directing 2–4 cases | $416.87 | $954.99 | $1,412.54 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $416.87 Median $954.99 Typical High $1,412.54 | Professional | QX · CRNA, directed | $416.87 | $954.99 | $1,412.54 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $416.87 Median $954.99 Typical High $1,412.54 | Professional | QY · Directing one CRNA | $416.87 | $954.99 | $1,412.54 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $416.87 Median $954.99 Typical High $1,412.54 | Professional | QZ · CRNA, independent | $416.87 | $954.99 | $1,412.54 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | AA · Anesthesiologist | $3,311.31 | $3,311.31 | $3,311.31 |