How much rates vary
Facilitymedian $437 · 10th to 90th $30 to $1,950Professionalmedian $302 · 10th to 90th $30 to $427
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 $363.08 Typical High $457.09 | Facility | None | $30.20 | $363.08 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $371.54 | Professional | None | $30.20 | $30.20 | $371.54 |
AmeriHealth Setting Facility Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $3,311.31 | Facility | None | $1,288.25 | $2,570.40 | $3,311.31 |
AmeriHealth Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $407.38 | Professional | None | $234.42 | $269.15 | $407.38 |
Capital Blue Cross Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $426.58 | Professional | None | $169.82 | $316.23 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $338.84 | Professional | None | $169.82 | $218.78 | $338.84 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $323.59 Typical High $588.84 | Professional | None | $64.57 | $323.59 | $588.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $3,311.31 | Facility | None | $1,288.25 | $2,570.40 | $3,311.31 |
Independence Blue Cross Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $323.59 | Professional | None | $234.42 | $269.15 | $323.59 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $363.08 Typical High $446.68 | Facility | None | $30.20 | $363.08 | $446.68 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $346.74 | Professional | None | $30.20 | $30.20 | $346.74 |
Oscar Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $5,754.40 | Facility | None | $1,412.54 | $1,479.11 | $5,754.40 |
Oscar Health Setting Professional Modifier None Typical Low $3.98 Median $30.20 Typical High $77.62 | Professional | None | $3.98 | $30.20 | $77.62 |
United Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $154.88 | Professional | None | $39.81 | $70.79 | $154.88 |
17 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 $6.76 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.76 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $154.88 Median $177.83 Typical High $208.93 | Professional | AA · Anesthesiologist | $154.88 | $177.83 | $208.93 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $50.12 Median $89.13 Typical High $117.49 | Professional | QK · Directing 2–4 cases | $50.12 | $89.13 | $117.49 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $50.12 Median $91.20 Typical High $138.04 | Professional | QX · CRNA, directed | $50.12 | $91.20 | $138.04 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $177.83 Typical High $199.53 | Professional | QZ · CRNA, independent | $141.25 | $177.83 | $199.53 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | AA · Anesthesiologist | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | AD · Supervising 5+ | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QK · Directing 2–4 cases | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QX · CRNA, directed | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QY · Directing one CRNA | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QZ · CRNA, independent | $93.33 | $208.93 | $309.03 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $281.84 Median $331.13 Typical High $478.63 | Professional | AA · Anesthesiologist | $281.84 | $331.13 | $478.63 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $288.40 Median $380.19 Typical High $467.74 | Professional | QK · Directing 2–4 cases | $288.40 | $380.19 | $467.74 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $288.40 Median $371.54 Typical High $457.09 | Professional | QX · CRNA, directed | $288.40 | $371.54 | $457.09 |
Highmark BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $302.00 Median $363.08 Typical High $467.74 | Professional | QY · Directing one CRNA | $302.00 | $363.08 | $467.74 |
Highmark BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $223.87 Median $288.40 Typical High $363.08 | Professional | QZ · CRNA, independent | $223.87 | $288.40 | $363.08 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |