How much rates vary
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 $457.09 Median $489.78 Typical High $489.78 | Facility | None | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $389.05 Typical High $489.78 | Professional | None | $34.67 | $389.05 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | None | $616.60 | $616.60 | $660.69 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $2,041.74 | Professional | None | $44.67 | $60.26 | $2,041.74 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $83.18 | Professional | None | $44.67 | $60.26 | $83.18 |
Wellmark Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $707.95 | Professional | None | $562.34 | $562.34 | $707.95 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | QX · CRNA, directed | $354.81 | $354.81 | $389.05 |
1 more rate 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier AA · Anesthesiologist Typical Low $630.96 Median $707.95 Typical High $794.33 | Professional | AA · Anesthesiologist | $630.96 | $707.95 | $794.33 |