How much rates vary
Facilitymedian $417 · 10th to 90th $347 to $603Professionalmedian $372 · 10th to 90th $50 to $1,905
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 $50.12 Median $562.34 Typical High $602.56 | Facility | None | $50.12 | $562.34 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $562.34 | Professional | None | $38.02 | $50.12 | $562.34 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $426.58 Median $1,905.46 Typical High $3,801.89 | Professional | None | $426.58 | $1,905.46 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $616.60 | Professional | None | $354.81 | $389.05 | $616.60 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $162.18 | Professional | None | $74.13 | $81.28 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $602.56 | Facility | None | $371.54 | $416.87 | $602.56 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $537.03 | Professional | None | $371.54 | $371.54 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $630.96 | Professional | None | $426.58 | $426.58 | $630.96 |
United Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $83.18 | Professional | None | $45.71 | $56.23 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $144.54 Typical High $144.54 | Professional | None | $7.08 | $144.54 | $144.54 |
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 $478.63 Median $812.83 Typical High $1,288.25 | Professional | AA · Anesthesiologist | $478.63 | $812.83 | $1,288.25 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $371.54 Median $549.54 Typical High $851.14 | Professional | QK · Directing 2–4 cases | $371.54 | $549.54 | $851.14 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $371.54 Median $549.54 Typical High $851.14 | Professional | QX · CRNA, directed | $371.54 | $549.54 | $851.14 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $426.58 Median $426.58 Typical High $1,584.89 | Professional | QZ · CRNA, independent | $426.58 | $426.58 | $1,584.89 |