How much rates vary
Facilitymedian $398 · 10th to 90th $40 to $813Professionalmedian $339 · 10th to 90th $46 to $562
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 $47.86 Median $630.96 Typical High $812.83 | Facility | None | $47.86 | $630.96 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $676.08 | Professional | None | $44.67 | $47.86 | $676.08 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $162.18 Median $190.55 Typical High $426.58 | Professional | QK · Directing 2–4 cases | $162.18 | $190.55 | $426.58 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $173.78 Median $190.55 Typical High $426.58 | Professional | QX · CRNA, directed | $173.78 | $190.55 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $323.59 | Professional | None | $95.50 | $107.15 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $645.65 | Professional | None | $257.04 | $389.05 | $645.65 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $13.80 Median $158.49 Typical High $1,288.25 | Facility | None | $13.80 | $158.49 | $1,288.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $39.81 Median $263.03 Typical High $524.81 | Professional | None | $39.81 | $263.03 | $524.81 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $123.03 | Professional | None | $52.48 | $64.57 | $123.03 |
SummaCare Setting Professional Modifier None Typical Low $151.36 Median $354.81 Typical High $630.96 | Professional | None | $151.36 | $354.81 | $630.96 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
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 AA · Anesthesiologist Typical Low $234.42 Median $549.54 Typical High $1,513.56 | Professional | AA · Anesthesiologist | $234.42 | $549.54 | $1,513.56 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $223.87 Median $223.87 Typical High $812.83 | Professional | QZ · CRNA, independent | $223.87 | $223.87 | $812.83 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $602.56 Median $870.96 Typical High $1,202.26 | Professional | QZ · CRNA, independent | $602.56 | $870.96 | $1,202.26 |