How much rates vary
Facilitymedian $1,549 · 10th to 90th $30 to $1,905Professionalmedian $1,259 · 10th to 90th $30 to $1,778
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 $1,548.82 Typical High $1,905.46 | Facility | None | $30.20 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,621.81 | Professional | None | $30.20 | $30.20 | $1,621.81 |
Capital Blue Cross Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $1,778.28 | Professional | None | $707.95 | $1,318.26 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,698.24 | Professional | None | $831.76 | $1,096.48 | $1,698.24 |
Emblem Health Setting Professional Modifier None Typical Low $426.58 Median $1,698.24 Typical High $3,090.30 | Professional | None | $426.58 | $1,698.24 | $3,090.30 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $1,548.82 Typical High $1,905.46 | Facility | None | $30.20 | $1,548.82 | $1,905.46 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,513.56 | Professional | None | $30.20 | $30.20 | $1,513.56 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $79.43 | Professional | None | $19.95 | $39.81 | $79.43 |
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 $489.78 Median $1,122.02 Typical High $1,621.81 | Professional | AA · Anesthesiologist | $489.78 | $1,122.02 | $1,621.81 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $489.78 Median $1,122.02 Typical High $1,621.81 | Professional | AD · Supervising 5+ | $489.78 | $1,122.02 | $1,621.81 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $489.78 Median $1,122.02 Typical High $1,621.81 | Professional | QK · Directing 2–4 cases | $489.78 | $1,122.02 | $1,621.81 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $489.78 Median $1,122.02 Typical High $1,621.81 | Professional | QX · CRNA, directed | $489.78 | $1,122.02 | $1,621.81 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $489.78 Median $1,122.02 Typical High $1,621.81 | Professional | QY · Directing one CRNA | $489.78 | $1,122.02 | $1,621.81 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $489.78 Median $1,122.02 Typical High $1,621.81 | Professional | QZ · CRNA, independent | $489.78 | $1,122.02 | $1,621.81 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $758.58 Median $1,949.84 Typical High $1,995.26 | Professional | AA · Anesthesiologist | $758.58 | $1,949.84 | $1,995.26 |