How much rates vary
Facilitymedian $62 · 10th to 90th $48 to $380Professionalmedian $251 · 10th to 90th $48 to $479
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 $47.86 Median $47.86 Typical High $389.05 | Facility | None | $47.86 | $47.86 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $489.78 | Professional | None | $41.69 | $47.86 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $407.38 | Professional | None | $147.91 | $257.04 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $281.84 | Facility | None | $81.28 | $109.65 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $138.04 Typical High $288.40 | Professional | None | $77.62 | $138.04 | $288.40 |
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 $269.15 Median $398.11 Typical High $933.25 | Professional | None | $269.15 | $398.11 | $933.25 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | None | $323.59 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | None | $43.65 | $53.70 | $70.79 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | QK · Directing 2–4 cases | $151.36 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | QX · CRNA, directed | $151.36 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | QZ · CRNA, independent | $575.44 | $575.44 | $575.44 |