How much rates vary
Facilitymedian $302 · 10th to 90th $30 to $617Professionalmedian $151 · 10th to 90th $30 to $282
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 $302.00 Typical High $616.60 | Facility | None | $30.20 | $302.00 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $478.63 | Professional | None | $30.20 | $36.31 | $478.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | None | $125.89 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $457.09 | Professional | None | $181.97 | $199.53 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Oscar Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Oscar Health Setting Professional Modifier None Typical Low $4.90 Median $37.15 Typical High $89.13 | Professional | None | $4.90 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $8.32 | Professional | 53 · Discontinued | $6.03 | $6.03 | $8.32 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $48.98 Median $107.15 Typical High $302.00 | Professional | QK · Directing 2–4 cases | $48.98 | $107.15 | $302.00 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $74.13 Median $263.03 Typical High $346.74 | Professional | QX · CRNA, directed | $74.13 | $263.03 | $346.74 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $100.00 Median $100.00 Typical High $239.88 | Professional | QZ · CRNA, independent | $100.00 | $100.00 | $239.88 |