How much rates vary
Facilitymedian $550 · 10th to 90th $48 to $724Professionalmedian $200 · 10th to 90th $48 to $479
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 $51.29 Median $549.54 Typical High $724.44 | Facility | None | $51.29 | $549.54 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $588.84 | Professional | None | $47.86 | $47.86 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $27.54 | Professional | 53 · Discontinued | $8.91 | $9.55 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | None | $199.53 | $199.53 | $309.03 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $281.84 | Professional | None | $81.28 | $93.33 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $549.54 | Professional | None | $223.87 | $338.84 | $549.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $16.22 Median $173.78 Typical High $288.40 | Facility | None | $16.22 | $173.78 | $288.40 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $489.78 | Professional | None | $208.93 | $302.00 | $489.78 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $104.71 | Professional | None | $52.48 | $56.23 | $104.71 |
SummaCare Setting Professional Modifier None Typical Low $128.82 Median $302.00 Typical High $467.74 | Professional | None | $128.82 | $302.00 | $467.74 |
5 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 $102.33 Median $251.19 Typical High $389.05 | Professional | QK · Directing 2–4 cases | $102.33 | $251.19 | $389.05 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $112.20 Median $112.20 Typical High $398.11 | Professional | QX · CRNA, directed | $112.20 | $112.20 | $398.11 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $117.49 Median $117.49 Typical High $426.58 | Professional | QY · Directing one CRNA | $117.49 | $117.49 | $426.58 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $208.93 Median $549.54 Typical High $549.54 | Professional | QZ · CRNA, independent | $208.93 | $549.54 | $549.54 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $186.21 Median $223.87 Typical High $288.40 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $186.21 | $223.87 | $288.40 |