How much rates vary
Facilitymedian $832 · 10th to 90th $832 to $832Professionalmedian $66 · 10th to 90th $10 to $832
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $831.76 | Professional | None | $660.69 | $831.76 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $436.52 Typical High $870.96 | Professional | None | $269.15 | $436.52 | $870.96 |
United Setting Professional Modifier None Typical Low $30.20 Median $75.86 Typical High $75.86 | Professional | None | $30.20 | $75.86 | $75.86 |
University Health Alliance Setting Professional Modifier None Typical Low $10.00 Median $48.98 Typical High $66.07 | Professional | None | $10.00 | $48.98 | $66.07 |
1 more rate 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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier QS · Monitored anesthesia care Typical Low $4.17 Median $4.17 Typical High $4.90 | Professional | QS · Monitored anesthesia care | $4.17 | $4.17 | $4.90 |