How much rates vary
Facilitymedian $1,318 · 10th to 90th $30 to $3,802Professionalmedian $191 · 10th to 90th $36 to $468
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 $288.40 Typical High $371.54 | Facility | None | $30.20 | $288.40 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $501.19 | Professional | None | $30.20 | $47.86 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $467.74 | Professional | None | $134.90 | $190.55 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $489.78 | Professional | None | $199.53 | $302.00 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $660.69 | Professional | None | $190.55 | $436.52 | $660.69 |
Oscar Health Setting Facility Modifier None Typical Low $2,041.74 Median $3,019.95 Typical High $5,011.87 | Facility | None | $2,041.74 | $3,019.95 | $5,011.87 |
Oscar Health Setting Professional Modifier None Typical Low $5.37 Median $30.90 Typical High $79.43 | Professional | None | $5.37 | $30.90 | $79.43 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $9.55 | Professional | 53 · Discontinued | $6.03 | $6.03 | $9.55 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $218.78 Median $234.42 Typical High $281.84 | Professional | AA · Anesthesiologist | $218.78 | $234.42 | $281.84 |
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | AD · Supervising 5+ | $102.33 | $102.33 | $102.33 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $42.66 Median $109.65 Typical High $338.84 | Professional | QK · Directing 2–4 cases | $42.66 | $109.65 | $338.84 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $43.65 Median $100.00 Typical High $398.11 | Professional | QX · CRNA, directed | $43.65 | $100.00 | $398.11 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $52.48 Median $109.65 Typical High $338.84 | Professional | QY · Directing one CRNA | $52.48 | $109.65 | $338.84 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $81.28 Median $123.03 Typical High $676.08 | Professional | QZ · CRNA, independent | $81.28 | $123.03 | $676.08 |