How much rates vary
Facilitymedian $72 · 10th to 90th $72 to $72Professionalmedian $224 · 10th to 90th $42 to $891
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 $50.12 Typical High $251.19 | Facility | None | $41.69 | $50.12 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $363.08 | Professional | None | $41.69 | $50.12 | $363.08 |
BCBS Texas Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $398.11 | Professional | None | $181.97 | $223.87 | $398.11 |
Baylor Scott & White Setting Professional Modifier None Typical Low $93.33 Median $234.42 Typical High $323.59 | Professional | None | $93.33 | $234.42 | $323.59 |
Christus Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $331.13 | Professional | None | $190.55 | $208.93 | $331.13 |
Health Smart Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $281.84 | Professional | None | $186.21 | $234.42 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $2,398.83 | Professional | None | $891.25 | $891.25 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $208.93 Typical High $302.00 | Facility | None | $41.69 | $208.93 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $363.08 | Professional | None | $41.69 | $50.12 | $363.08 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $223.87 Typical High $436.52 | Professional | None | $51.29 | $223.87 | $436.52 |
Oscar Health Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $3,311.31 | Facility | None | $1,230.27 | $3,311.31 | $3,311.31 |
Oscar Health Setting Professional Modifier None Typical Low $5.37 Median $25.12 Typical High $54.95 | Professional | None | $5.37 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $323.59 | Professional | None | $190.55 | $208.93 | $323.59 |
United Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $77.62 | Professional | None | $52.48 | $60.26 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
13 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 $8.32 Median $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.00 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $100.00 Median $389.05 Typical High $457.09 | Professional | AA · Anesthesiologist | $100.00 | $389.05 | $457.09 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $194.98 Median $229.09 Typical High $363.08 | Professional | QK · Directing 2–4 cases | $194.98 | $229.09 | $363.08 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $52.48 Median $229.09 Typical High $229.09 | Professional | QX · CRNA, directed | $52.48 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $100.00 Median $323.59 Typical High $457.09 | Professional | QZ · CRNA, independent | $100.00 | $323.59 | $457.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.00 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $181.97 Median $245.47 Typical High $380.19 | Professional | AA · Anesthesiologist | $181.97 | $245.47 | $380.19 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $177.83 Median $295.12 Typical High $380.19 | Professional | P2 · Mild systemic disease | $177.83 | $295.12 | $380.19 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $91.20 Median $120.23 Typical High $338.84 | Professional | P3 · Severe systemic disease | $91.20 | $120.23 | $338.84 |
Moda Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $74.13 Median $102.33 Typical High $144.54 | Professional | QK · Directing 2–4 cases | $74.13 | $102.33 | $144.54 |
Moda Health Setting Professional Modifier QS · Monitored anesthesia care Typical Low $74.13 Median $275.42 Typical High $389.05 | Professional | QS · Monitored anesthesia care | $74.13 | $275.42 | $389.05 |
Moda Health Setting Professional Modifier QX · CRNA, directed Typical Low $63.10 Median $95.50 Typical High $144.54 | Professional | QX · CRNA, directed | $63.10 | $95.50 | $144.54 |
Moda Health Setting Professional Modifier QZ · CRNA, independent Typical Low $144.54 Median $204.17 Typical High $309.03 | Professional | QZ · CRNA, independent | $144.54 | $204.17 | $309.03 |