How much rates vary
Facilitymedian $708 · 10th to 90th $48 to $933Professionalmedian $398 · 10th to 90th $46 to $631
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 $47.86 Median $707.95 Typical High $933.25 | Facility | None | $47.86 | $707.95 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $758.58 | Professional | None | $47.86 | $47.86 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Professional | None | $457.09 | $457.09 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $363.08 | Professional | None | $107.15 | $120.23 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $741.31 | Professional | None | $295.12 | $446.68 | $741.31 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.59 Median $181.97 Typical High $309.03 | Facility | None | $12.59 | $181.97 | $309.03 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $27.54 Median $380.19 Typical High $630.96 | Professional | None | $27.54 | $380.19 | $630.96 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $141.25 | Professional | None | $52.48 | $74.13 | $141.25 |
SummaCare Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $602.56 | Professional | None | $173.78 | $407.38 | $602.56 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
4 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 QK · Directing 2–4 cases Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | QK · Directing 2–4 cases | $281.84 | $281.84 | $363.08 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $251.19 Median $363.08 Typical High $489.78 | Professional | QX · CRNA, directed | $251.19 | $363.08 | $489.78 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $346.74 Median $645.65 Typical High $645.65 | Professional | QZ · CRNA, independent | $346.74 | $645.65 | $645.65 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $602.56 Median $812.83 Typical High $1,513.56 | Professional | QZ · CRNA, independent | $602.56 | $812.83 | $1,513.56 |