How much rates vary
Facilitymedian $813 · 10th to 90th $30 to $977Professionalmedian $661 · 10th to 90th $30 to $933
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 $30.20 Median $812.83 Typical High $1,000.00 | Facility | None | $30.20 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $851.14 | Professional | None | $30.20 | $30.20 | $851.14 |
AmeriHealth Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $1,096.48 | Professional | None | $707.95 | $758.58 | $1,096.48 |
Capital Blue Cross Setting Professional Modifier None Typical Low $371.54 Median $691.83 Typical High $933.25 | Professional | None | $371.54 | $691.83 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Emblem Health Setting Professional Modifier None Typical Low $213.80 Median $891.25 Typical High $1,621.81 | Professional | None | $213.80 | $891.25 | $1,621.81 |
Independence Blue Cross Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $758.58 | Professional | None | $707.95 | $707.95 | $758.58 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $812.83 Typical High $977.24 | Facility | None | $30.20 | $812.83 | $977.24 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $794.33 | Professional | None | $30.20 | $30.20 | $794.33 |
Oscar Health Setting Professional Modifier None Typical Low $10.00 Median $31.62 Typical High $77.62 | Professional | None | $10.00 | $31.62 | $77.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None | $34.67 | $54.95 | $75.86 |
7 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 |
|---|---|---|---|---|---|
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $257.04 Median $588.84 Typical High $851.14 | Professional | AA · Anesthesiologist | $257.04 | $588.84 | $851.14 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $257.04 Median $588.84 Typical High $851.14 | Professional | AD · Supervising 5+ | $257.04 | $588.84 | $851.14 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $257.04 Median $588.84 Typical High $851.14 | Professional | QK · Directing 2–4 cases | $257.04 | $588.84 | $851.14 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $257.04 Median $588.84 Typical High $851.14 | Professional | QX · CRNA, directed | $257.04 | $588.84 | $851.14 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $257.04 Median $588.84 Typical High $851.14 | Professional | QY · Directing one CRNA | $257.04 | $588.84 | $851.14 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $257.04 Median $588.84 Typical High $851.14 | Professional | QZ · CRNA, independent | $257.04 | $588.84 | $851.14 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $1,071.52 Median $2,041.74 Typical High $3,311.31 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $1,071.52 | $2,041.74 | $3,311.31 |