How much rates vary
Facilitymedian $525 · 10th to 90th $30 to $676Professionalmedian $324 · 10th to 90th $42 to $813
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $524.81 Typical High $676.08 | Facility | None | $30.20 | $524.81 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $891.25 | Professional | None | $30.20 | $47.86 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $831.76 | Professional | None | $245.47 | $338.84 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $977.24 | Professional | None | $398.11 | $602.56 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $776.25 Typical High $1,174.90 | Professional | None | $338.84 | $776.25 | $1,174.90 |
Oscar Health Setting Professional Modifier None Typical Low $14.13 Median $30.90 Typical High $79.43 | Professional | None | $14.13 | $30.90 | $79.43 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $97.72 | Professional | None | $52.48 | $75.86 | $97.72 |
3 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 AD · Supervising 5+ Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | AD · Supervising 5+ | $323.59 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $154.88 Median $204.17 Typical High $1,071.52 | Professional | QK · Directing 2–4 cases | $154.88 | $204.17 | $1,071.52 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $154.88 Median $794.33 Typical High $1,071.52 | Professional | QX · CRNA, directed | $154.88 | $794.33 | $1,071.52 |