How much rates vary
Facilitymedian $263 · 10th to 90th $22 to $513Professionalmedian $200 · 10th to 90th $48 to $347
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 $47.86 Median $389.05 Typical High $512.86 | Facility | None | $47.86 | $389.05 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $416.87 | Professional | None | $44.67 | $47.86 | $416.87 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $85.11 Median $120.23 Typical High $141.25 | Professional | QZ · CRNA, independent | $85.11 | $120.23 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $302.00 | Professional | None | $199.53 | $199.53 | $302.00 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $269.15 Median $309.03 Typical High $380.19 | Professional | QZ · CRNA, independent | $269.15 | $309.03 | $380.19 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $158.49 | Professional | None | $41.69 | $53.70 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $363.08 | Professional | None | $147.91 | $223.87 | $363.08 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $15.49 Median $190.55 Typical High $870.96 | Facility | None | $15.49 | $190.55 | $870.96 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $38.02 Median $141.25 Typical High $281.84 | Professional | None | $38.02 | $141.25 | $281.84 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $70.79 | Professional | None | $37.15 | $52.48 | $70.79 |
SummaCare Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $323.59 | Professional | None | $66.07 | $154.88 | $323.59 |
5 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 $8.91 Median $9.55 Typical High $27.54 | Professional | 53 · Discontinued | $8.91 | $9.55 | $27.54 |
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | AD · Supervising 5+ | $117.49 | $117.49 | $120.23 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $60.26 Median $60.26 Typical High $199.53 | Professional | QK · Directing 2–4 cases | $60.26 | $60.26 | $199.53 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $50.12 Median $60.26 Typical High $70.79 | Professional | QX · CRNA, directed | $50.12 | $60.26 | $70.79 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | QY · Directing one CRNA | $70.79 | $70.79 | $70.79 |