How much rates vary
Facilitymedian $537 · 10th to 90th $42 to $891Professionalmedian $166 · 10th to 90th $44 to $617
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 $575.44 Typical High $891.25 | Facility | None | $41.69 | $575.44 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $691.83 | Professional | None | $39.81 | $41.69 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $758.58 | Professional | None | $309.03 | $478.63 | $758.58 |
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 $323.59 Median $389.05 Typical High $707.95 | Professional | None | $323.59 | $389.05 | $707.95 |
Emblem Health Setting Professional Modifier None Typical Low $43.65 Median $109.65 Typical High $870.96 | Professional | None | $43.65 | $109.65 | $870.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $354.81 | Professional | None | $83.18 | $100.00 | $354.81 |
MVP Health Care Setting Professional Modifier None Typical Low $186.21 Median $616.60 Typical High $741.31 | Professional | None | $186.21 | $616.60 | $741.31 |
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 $102.33 Median $102.33 Typical High $218.78 | Facility | None | $102.33 | $102.33 | $218.78 |
Univera Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $354.81 | Professional | None | $83.18 | $100.00 | $354.81 |
4 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 QZ · CRNA, independent Typical Low $457.09 Median $977.24 Typical High $1,621.81 | Professional | QZ · CRNA, independent | $457.09 | $977.24 | $1,621.81 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $426.58 Median $794.33 Typical High $1,023.29 | Professional | AA · Anesthesiologist | $426.58 | $794.33 | $1,023.29 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $660.69 Median $812.83 Typical High $1,071.52 | Professional | QK · Directing 2–4 cases | $660.69 | $812.83 | $1,071.52 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $660.69 Median $812.83 Typical High $1,096.48 | Professional | QX · CRNA, directed | $660.69 | $812.83 | $1,096.48 |