How much rates vary
Facilitymedian $513 · 10th to 90th $30 to $631Professionalmedian $417 · 10th to 90th $30 to $589
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 $512.86 Typical High $630.96 | Facility | None | $30.20 | $512.86 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $524.81 | Professional | None | $30.20 | $30.20 | $524.81 |
AmeriHealth Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $707.95 | Professional | None | $457.09 | $478.63 | $707.95 |
Capital Blue Cross Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $588.84 | Professional | None | $239.88 | $446.68 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $512.86 | Professional | None | $251.19 | $331.13 | $512.86 |
Emblem Health Setting Professional Modifier None Typical Low $128.82 Median $562.34 Typical High $1,023.29 | Professional | None | $128.82 | $562.34 | $1,023.29 |
Independence Blue Cross Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $575.44 | Professional | None | $457.09 | $478.63 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $512.86 Typical High $630.96 | Facility | None | $30.20 | $512.86 | $630.96 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $489.78 | Professional | None | $30.20 | $30.20 | $489.78 |
Oscar Health Setting Professional Modifier None Typical Low $6.03 Median $30.90 Typical High $77.62 | Professional | None | $6.03 | $30.90 | $77.62 |
United Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $154.88 | Professional | None | $39.81 | $70.79 | $154.88 |
11 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 $6.76 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.76 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $208.93 Median $234.42 Typical High $239.88 | Professional | QK · Directing 2–4 cases | $208.93 | $234.42 | $239.88 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $162.18 Median $371.54 Typical High $549.54 | Professional | AA · Anesthesiologist | $162.18 | $371.54 | $549.54 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $162.18 Median $371.54 Typical High $549.54 | Professional | AD · Supervising 5+ | $162.18 | $371.54 | $549.54 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $162.18 Median $371.54 Typical High $549.54 | Professional | QK · Directing 2–4 cases | $162.18 | $371.54 | $549.54 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $162.18 Median $371.54 Typical High $549.54 | Professional | QX · CRNA, directed | $162.18 | $371.54 | $549.54 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $162.18 Median $371.54 Typical High $549.54 | Professional | QY · Directing one CRNA | $162.18 | $371.54 | $549.54 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $371.54 Typical High $549.54 | Professional | QZ · CRNA, independent | $162.18 | $371.54 | $549.54 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $630.96 Median $812.83 Typical High $1,148.15 | Professional | QK · Directing 2–4 cases | $630.96 | $812.83 | $1,148.15 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $602.56 Median $794.33 Typical High $1,148.15 | Professional | QX · CRNA, directed | $602.56 | $794.33 | $1,148.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |