How much rates vary
Facilitymedian $224 · 10th to 90th $42 to $331Professionalmedian $71 · 10th to 90th $41 to $1,122
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $251.19 Typical High $331.13 | Facility | None | $41.69 | $251.19 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $371.54 | Professional | None | $41.69 | $44.67 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $407.38 | Professional | None | $208.93 | $251.19 | $407.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $338.84 | Professional | None | $181.97 | $245.47 | $338.84 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $1,122.02 | Professional | None | $39.81 | $67.61 | $1,122.02 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | QK · Directing 2–4 cases | $109.65 | $109.65 | $194.98 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $208.93 Median $281.84 Typical High $346.74 | Professional | QZ · CRNA, independent | $208.93 | $281.84 | $346.74 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | QZ · CRNA, independent | $588.84 | $588.84 | $707.95 |