How much rates vary
Facilitymedian $117 · 10th to 90th $117 to $117Professionalmedian $339 · 10th to 90th $42 to $1,259
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 $41.69 Median $50.12 Typical High $371.54 | Facility | None | $41.69 | $50.12 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $501.19 | Professional | None | $41.69 | $50.12 | $501.19 |
BCBS Texas Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $588.84 | Professional | None | $257.04 | $338.84 | $588.84 |
Baylor Scott & White Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $478.63 | Professional | None | $251.19 | $346.74 | $478.63 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $501.19 | Professional | None | $288.40 | $309.03 | $501.19 |
Health Smart Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $489.78 | Professional | None | $331.13 | $407.38 | $489.78 |
Lucent Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,388.44 | Professional | None | $1,258.93 | $1,258.93 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $295.12 Typical High $371.54 | Facility | None | $41.69 | $295.12 | $371.54 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $512.86 | Professional | None | $41.69 | $50.12 | $512.86 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $436.52 Typical High $630.96 | Professional | None | $102.33 | $436.52 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $10.72 Median $25.12 Typical High $54.95 | Professional | None | $10.72 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $478.63 | Professional | None | $288.40 | $309.03 | $478.63 |
United Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $77.62 | Professional | None | $52.48 | $60.26 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
10 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 $8.32 Median $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.00 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $204.17 Median $588.84 Typical High $707.95 | Professional | AA · Anesthesiologist | $204.17 | $588.84 | $707.95 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $354.81 Median $389.05 Typical High $426.58 | Professional | QK · Directing 2–4 cases | $354.81 | $389.05 | $426.58 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $354.81 Median $354.81 Typical High $457.09 | Professional | QX · CRNA, directed | $354.81 | $354.81 | $457.09 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | QY · Directing one CRNA | $389.05 | $389.05 | $389.05 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $263.03 Median $977.24 Typical High $1,288.25 | Professional | QZ · CRNA, independent | $263.03 | $977.24 | $1,288.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.00 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $43.65 Median $87.10 Typical High $295.12 | Professional | P3 · Severe systemic disease | $43.65 | $87.10 | $295.12 |
Moda Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $77.62 Median $85.11 Typical High $141.25 | Professional | QK · Directing 2–4 cases | $77.62 | $85.11 | $141.25 |
Moda Health Setting Professional Modifier QX · CRNA, directed Typical Low $79.43 Median $95.50 Typical High $141.25 | Professional | QX · CRNA, directed | $79.43 | $95.50 | $141.25 |