How much rates vary
Facilitymedian $389 · 10th to 90th $30 to $7,586Professionalmedian $214 · 10th to 90th $42 to $537
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 $30.20 Median $346.74 Typical High $446.68 | Facility | None | $30.20 | $346.74 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $602.56 | Professional | None | $30.20 | $47.86 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $562.34 | Professional | None | $162.18 | $229.09 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $602.56 | Professional | None | $251.19 | $371.54 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $524.81 Typical High $794.33 | Professional | None | $229.09 | $524.81 | $794.33 |
Oscar Health Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $7,585.78 | Facility | None | $3,235.94 | $5,370.32 | $7,585.78 |
Oscar Health Setting Professional Modifier None Typical Low $8.91 Median $30.90 Typical High $79.43 | Professional | None | $8.91 | $30.90 | $79.43 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $97.72 | Professional | None | $52.48 | $75.86 | $97.72 |
6 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 AA · Anesthesiologist Typical Low $144.54 Median $223.87 Typical High $912.01 | Professional | AA · Anesthesiologist | $144.54 | $223.87 | $912.01 |
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | AD · Supervising 5+ | $186.21 | $186.21 | $186.21 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $102.33 Median $512.86 Typical High $851.14 | Professional | QK · Directing 2–4 cases | $102.33 | $512.86 | $851.14 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $91.20 Median $389.05 Typical High $630.96 | Professional | QX · CRNA, directed | $91.20 | $389.05 | $630.96 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $104.71 Median $104.71 Typical High $478.63 | Professional | QY · Directing one CRNA | $104.71 | $104.71 | $478.63 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $223.87 Median $912.01 Typical High $1,148.15 | Professional | QZ · CRNA, independent | $223.87 | $912.01 | $1,148.15 |