How much rates vary
Facilitymedian $977 · 10th to 90th $42 to $1,660Professionalmedian $240 · 10th to 90th $52 to $1,096
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 $1,047.13 Typical High $1,659.59 | Facility | None | $41.69 | $1,047.13 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $1,258.93 | Professional | None | $39.81 | $41.69 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $1,380.38 | Professional | None | $562.34 | $870.96 | $1,380.38 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $218.78 Typical High $1,621.81 | Professional | None | $79.43 | $218.78 | $1,621.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $707.95 | Professional | None | $169.82 | $199.53 | $707.95 |
MVP Health Care Setting Professional Modifier None Typical Low $338.84 Median $1,122.02 Typical High $1,380.38 | Professional | None | $338.84 | $1,122.02 | $1,380.38 |
United Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | None | $52.48 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $436.52 | Facility | None | $204.17 | $204.17 | $436.52 |
Univera Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $707.95 | Professional | None | $169.82 | $199.53 | $707.95 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $616.60 Median $741.31 Typical High $3,548.13 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $616.60 | $741.31 | $3,548.13 |