How much rates vary
Facilitymedian $479 · 10th to 90th $30 to $977Professionalmedian $69 · 10th to 90th $30 to $617
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 $478.63 Typical High $977.24 | Facility | None | $30.20 | $478.63 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $758.58 | Professional | None | $30.20 | $37.15 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $794.33 | Professional | None | $316.23 | $346.74 | $794.33 |
Oscar Health Setting Professional Modifier None Typical Low $11.48 Median $37.15 Typical High $89.13 | Professional | None | $11.48 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $100.00 | Professional | None | $39.81 | $63.10 | $100.00 |
3 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 $169.82 Median $562.34 Typical High $870.96 | Professional | QK · Directing 2–4 cases | $169.82 | $562.34 | $870.96 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $512.86 Typical High $870.96 | Professional | QX · CRNA, directed | $213.80 | $512.86 | $870.96 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $147.91 Median $426.58 Typical High $537.03 | Professional | QY · Directing one CRNA | $147.91 | $426.58 | $537.03 |