How much rates vary
Facilitymedian $389 · 10th to 90th $55 to $513Professionalmedian $209 · 10th to 90th $47 to $347
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 $54.95 Median $389.05 Typical High $512.86 | Facility | None | $54.95 | $389.05 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $416.87 | Professional | None | $47.86 | $47.86 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None | $257.04 | $257.04 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $199.53 | Professional | None | $54.95 | $66.07 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $363.08 | Professional | None | $147.91 | $223.87 | $363.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $331.13 | Professional | None | $141.25 | $208.93 | $331.13 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $70.79 | Professional | None | $37.15 | $52.48 | $70.79 |
SummaCare Setting Professional Modifier None Typical Low $87.10 Median $204.17 Typical High $302.00 | Professional | None | $87.10 | $204.17 | $302.00 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
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 QK · Directing 2–4 cases Typical Low $141.25 Median $141.25 Typical High $489.78 | Professional | QK · Directing 2–4 cases | $141.25 | $141.25 | $489.78 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $141.25 Median $141.25 Typical High $489.78 | Professional | QX · CRNA, directed | $141.25 | $141.25 | $489.78 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $309.03 | $309.03 | $323.59 |