How much rates vary
Facilitymedian $447 · 10th to 90th $42 to $759Professionalmedian $282 · 10th to 90th $42 to $525
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 $478.63 Typical High $758.58 | Facility | None | $41.69 | $478.63 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $562.34 | Professional | None | $38.90 | $41.69 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $630.96 | Professional | None | $257.04 | $398.11 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $562.34 | Professional | None | $257.04 | $309.03 | $562.34 |
Emblem Health Setting Professional Modifier None Typical Low $28.84 Median $72.44 Typical High $588.84 | Professional | None | $28.84 | $72.44 | $588.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $281.84 | Professional | None | $60.26 | $72.44 | $281.84 |
MVP Health Care Setting Professional Modifier None Typical Low $154.88 Median $524.81 Typical High $630.96 | Professional | None | $154.88 | $524.81 | $630.96 |
United Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $128.82 | Professional | None | $50.12 | $72.44 | $128.82 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $177.83 | Facility | None | $61.66 | $61.66 | $177.83 |
Univera Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $281.84 | Professional | None | $60.26 | $72.44 | $281.84 |
8 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 $7.94 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $8.32 | $8.32 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $104.71 Median $389.05 Typical High $977.24 | Professional | QZ · CRNA, independent | $104.71 | $389.05 | $977.24 |
Fidelis Setting Professional Modifier AA · Anesthesiologist Typical Low $4.79 Median $7.94 Typical High $7.94 | Professional | AA · Anesthesiologist | $4.79 | $7.94 | $7.94 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $162.18 Median $446.68 Typical High $524.81 | Professional | AA · Anesthesiologist | $162.18 | $446.68 | $524.81 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $194.98 Median $478.63 Typical High $645.65 | Professional | QK · Directing 2–4 cases | $194.98 | $478.63 | $645.65 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $501.19 Typical High $602.56 | Professional | QX · CRNA, directed | $213.80 | $501.19 | $602.56 |
Highmark BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $288.40 Median $457.09 Typical High $537.03 | Professional | QY · Directing one CRNA | $288.40 | $457.09 | $537.03 |
Highmark BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $138.04 Median $338.84 Typical High $457.09 | Professional | QZ · CRNA, independent | $138.04 | $338.84 | $457.09 |