How much rates vary
Facilitymedian $166 · 10th to 90th $166 to $166Professionalmedian $372 · 10th to 90th $42 to $1,905
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 $41.69 Median $50.12 Typical High $426.58 | Facility | None | $41.69 | $50.12 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $575.44 | Professional | None | $41.69 | $50.12 | $575.44 |
BCBS Texas Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $691.83 | Professional | None | $309.03 | $389.05 | $691.83 |
Baylor Scott & White Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $645.65 | Professional | None | $354.81 | $467.74 | $645.65 |
Christus Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $575.44 | Professional | None | $338.84 | $363.08 | $575.44 |
Health Smart Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $562.34 | Professional | None | $380.19 | $467.74 | $562.34 |
Lucent Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,905.46 | $1,905.46 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $338.84 Typical High $426.58 | Facility | None | $41.69 | $338.84 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $575.44 | Professional | None | $41.69 | $50.12 | $575.44 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $645.65 | Professional | None | $117.49 | $158.49 | $645.65 |
Oscar Health Setting Facility Modifier None Typical Low $3,548.13 Median $7,943.28 Typical High $7,943.28 | Facility | None | $3,548.13 | $7,943.28 | $7,943.28 |
Oscar Health Setting Professional Modifier None Typical Low $12.30 Median $25.12 Typical High $54.95 | Professional | None | $12.30 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $562.34 | Professional | None | $338.84 | $363.08 | $562.34 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
12 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 $263.03 Median $346.74 Typical High $870.96 | Professional | AA · Anesthesiologist | $263.03 | $346.74 | $870.96 |
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $707.95 Median $707.95 Typical High $912.01 | Professional | AD · Supervising 5+ | $707.95 | $707.95 | $912.01 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $141.25 Median $354.81 Typical High $851.14 | Professional | QK · Directing 2–4 cases | $141.25 | $354.81 | $851.14 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $120.23 Median $457.09 Typical High $489.78 | Professional | QX · CRNA, directed | $120.23 | $457.09 | $489.78 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $457.09 Median $1,000.00 Typical High $1,000.00 | Professional | QY · Directing one CRNA | $457.09 | $1,000.00 | $1,000.00 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $239.88 Median $616.60 Typical High $1,288.25 | Professional | QZ · CRNA, independent | $239.88 | $616.60 | $1,288.25 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $125.89 Median $158.49 Typical High $263.03 | Professional | AA · Anesthesiologist | $125.89 | $158.49 | $263.03 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $43.65 Median $141.25 Typical High $354.81 | Professional | P2 · Mild systemic disease | $43.65 | $141.25 | $354.81 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $57.54 Median $95.50 Typical High $162.18 | Professional | P3 · Severe systemic disease | $57.54 | $95.50 | $162.18 |
Moda Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $35.48 Median $77.62 Typical High $104.71 | Professional | QK · Directing 2–4 cases | $35.48 | $77.62 | $104.71 |
Moda Health Setting Professional Modifier QX · CRNA, directed Typical Low $40.74 Median $77.62 Typical High $114.82 | Professional | QX · CRNA, directed | $40.74 | $77.62 | $114.82 |
Moda Health Setting Professional Modifier QZ · CRNA, independent Typical Low $97.72 Median $104.71 Typical High $177.83 | Professional | QZ · CRNA, independent | $97.72 | $104.71 | $177.83 |