How much rates vary
Facilitymedian $263 · 10th to 90th $251 to $363Professionalmedian $72 · 10th to 90th $48 to $1,148
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 $63.10 Median $257.04 Typical High $363.08 | Facility | None | $63.10 | $257.04 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $346.74 | Professional | None | $47.86 | $52.48 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $363.08 | Facility | None | $251.19 | $263.03 | $363.08 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $346.74 | Professional | None | $52.48 | $52.48 | $346.74 |
Priority Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier QK · Directing 2–4 cases + QY · Directing one CRNA Typical Low $83.18 Median $112.20 Typical High $251.19 | Professional | QK · Directing 2–4 cases + QY · Directing one CRNA | $83.18 | $112.20 | $251.19 |