How much rates vary
Facilitymedian $631 · 10th to 90th $30 to $6,166Professionalmedian $479 · 10th to 90th $30 to $676
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 $588.84 Typical High $724.44 | Facility | None | $30.20 | $588.84 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $588.84 | Professional | None | $30.20 | $30.20 | $588.84 |
AmeriHealth Setting Facility Modifier None Typical Low $3,890.45 Median $6,165.95 Typical High $8,317.64 | Facility | None | $3,890.45 | $6,165.95 | $8,317.64 |
AmeriHealth Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $812.83 | Professional | None | $524.81 | $549.54 | $812.83 |
Capital Blue Cross Setting Professional Modifier None Typical Low $269.15 Median $501.19 Typical High $676.08 | Professional | None | $269.15 | $501.19 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $588.84 | Professional | None | $295.12 | $389.05 | $588.84 |
Emblem Health Setting Professional Modifier None Typical Low $151.36 Median $645.65 Typical High $1,174.90 | Professional | None | $151.36 | $645.65 | $1,174.90 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $8,317.64 | Facility | None | $3,890.45 | $4,897.79 | $8,317.64 |
Independence Blue Cross Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $645.65 | Professional | None | $524.81 | $549.54 | $645.65 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $537.03 Typical High $724.44 | Facility | None | $30.20 | $537.03 | $724.44 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $562.34 | Professional | None | $30.20 | $30.20 | $562.34 |
Oscar Health Setting Facility Modifier None Typical Low $4,897.79 Median $5,754.40 Typical High $9,549.93 | Facility | None | $4,897.79 | $5,754.40 | $9,549.93 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $30.20 Typical High $77.62 | Professional | None | $7.08 | $30.20 | $77.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None | $34.67 | $54.95 | $75.86 |
14 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 $512.86 Typical High $549.54 | Professional | AA · Anesthesiologist | $426.58 | $512.86 | $549.54 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $134.90 Median $275.42 Typical High $478.63 | Professional | QK · Directing 2–4 cases | $134.90 | $275.42 | $478.63 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $263.03 Median $302.00 Typical High $676.08 | Professional | QX · CRNA, directed | $263.03 | $302.00 | $676.08 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $186.21 Median $426.58 Typical High $630.96 | Professional | AA · Anesthesiologist | $186.21 | $426.58 | $630.96 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $186.21 Median $426.58 Typical High $630.96 | Professional | AD · Supervising 5+ | $186.21 | $426.58 | $630.96 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $186.21 Median $426.58 Typical High $630.96 | Professional | QK · Directing 2–4 cases | $186.21 | $426.58 | $630.96 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $186.21 Median $426.58 Typical High $630.96 | Professional | QX · CRNA, directed | $186.21 | $426.58 | $630.96 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $186.21 Median $426.58 Typical High $630.96 | Professional | QY · Directing one CRNA | $186.21 | $426.58 | $630.96 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $186.21 Median $426.58 Typical High $630.96 | Professional | QZ · CRNA, independent | $186.21 | $426.58 | $630.96 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $776.25 Median $1,348.96 Typical High $2,630.27 | Professional | AA · Anesthesiologist | $776.25 | $1,348.96 | $2,630.27 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $812.83 Median $1,071.52 Typical High $1,778.28 | Professional | QK · Directing 2–4 cases | $812.83 | $1,071.52 | $1,778.28 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $794.33 Median $1,047.13 Typical High $1,737.80 | Professional | QX · CRNA, directed | $794.33 | $1,047.13 | $1,737.80 |
Highmark BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $724.44 Median $1,122.02 Typical High $1,995.26 | Professional | QY · Directing one CRNA | $724.44 | $1,122.02 | $1,995.26 |
Highmark BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $602.56 Median $812.83 Typical High $1,148.15 | Professional | QZ · CRNA, independent | $602.56 | $812.83 | $1,148.15 |