How much rates vary
Facilitymedian $479 · 10th to 90th $40 to $479Professionalmedian $355 · 10th to 90th $48 to $1,820
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $39.81 Median $478.63 Typical High $478.63 | Facility | None | $39.81 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $436.52 | Professional | None | $39.81 | $39.81 | $436.52 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $489.78 | Professional | None | $331.13 | $416.87 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $426.58 | Professional | None | $263.03 | $346.74 | $426.58 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $1,819.70 | Professional | None | $47.86 | $64.57 | $1,819.70 |
United Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $61.66 | Professional | None | $46.77 | $51.29 | $61.66 |
4 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 $177.83 Median $275.42 Typical High $275.42 | Professional | AA · Anesthesiologist | $177.83 | $275.42 | $275.42 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | QK · Directing 2–4 cases | $190.55 | $190.55 | $190.55 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | QX · CRNA, directed | $190.55 | $190.55 | $190.55 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $177.83 Median $380.19 Typical High $380.19 | Professional | QZ · CRNA, independent | $177.83 | $380.19 | $380.19 |