How much rates vary
Facilitymedian $1,862 · 10th to 90th $30 to $5,370Professionalmedian $229 · 10th to 90th $36 to $562
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 $346.74 Typical High $446.68 | Facility | None | $30.20 | $346.74 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $602.56 | Professional | None | $30.20 | $47.86 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $562.34 | Professional | None | $162.18 | $229.09 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $602.56 | Professional | None | $251.19 | $371.54 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $524.81 Typical High $794.33 | Professional | None | $229.09 | $524.81 | $794.33 |
Oscar Health Setting Facility Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $6,025.60 | Facility | None | $2,511.89 | $3,548.13 | $6,025.60 |
Oscar Health Setting Professional Modifier None Typical Low $8.91 Median $30.90 Typical High $79.43 | Professional | None | $8.91 | $30.90 | $79.43 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $9.55 | Professional | 53 · Discontinued | $6.03 | $6.03 | $9.55 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $144.54 Median $162.18 Typical High $1,023.29 | Professional | AA · Anesthesiologist | $144.54 | $162.18 | $1,023.29 |
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | AD · Supervising 5+ | $794.33 | $794.33 | $794.33 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $70.79 Median $138.04 Typical High $512.86 | Professional | QK · Directing 2–4 cases | $70.79 | $138.04 | $512.86 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $70.79 Median $158.49 Typical High $478.63 | Professional | QX · CRNA, directed | $70.79 | $158.49 | $478.63 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $63.10 Median $338.84 Typical High $512.86 | Professional | QY · Directing one CRNA | $63.10 | $338.84 | $512.86 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $123.03 Median $165.96 Typical High $912.01 | Professional | QZ · CRNA, independent | $123.03 | $165.96 | $912.01 |