How much rates vary
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 $346.74 Median $630.96 Typical High $645.65 | Facility | None | $346.74 | $630.96 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $602.56 Typical High $630.96 | Professional | None | $43.65 | $602.56 | $630.96 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $281.84 Median $457.09 Typical High $1,513.56 | Professional | QZ · CRNA, independent | $281.84 | $457.09 | $1,513.56 |
BCBS Nebraska Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $123.03 | Facility | None | $44.67 | $60.26 | $123.03 |
BCBS Nebraska Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | None | $602.56 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $630.96 | Professional | None | $537.03 | $537.03 | $630.96 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $213.80 Typical High $1,659.59 | Facility | None | $18.20 | $213.80 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $218.78 | Professional | None | $56.23 | $72.44 | $218.78 |
Oscar Health Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Facility | None | $6,025.60 | $6,025.60 | $7,079.46 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $8.13 Typical High $22.91 | Professional | None | $7.08 | $8.13 | $22.91 |
United Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | None | $56.23 | $64.57 | $83.18 |
2 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 AA · Anesthesiologist Typical Low $426.58 Median $794.33 Typical High $1,513.56 | Professional | AA · Anesthesiologist | $426.58 | $794.33 | $1,513.56 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $407.38 Median $549.54 Typical High $1,778.28 | Professional | QX · CRNA, directed | $407.38 | $549.54 | $1,778.28 |