How much rates vary
Facilitymedian $363 · 10th to 90th $48 to $617Professionalmedian $257 · 10th to 90th $46 to $417
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 $51.29 Median $467.74 Typical High $616.60 | Facility | None | $51.29 | $467.74 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $501.19 | Professional | None | $44.67 | $47.86 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $239.88 | Professional | None | $67.61 | $79.43 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $457.09 | Professional | None | $186.21 | $281.84 | $457.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $14.79 Median $151.36 Typical High $851.14 | Facility | None | $14.79 | $151.36 | $851.14 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $28.18 Median $208.93 Typical High $380.19 | Professional | None | $28.18 | $208.93 | $380.19 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $87.10 | Professional | None | $46.77 | $52.48 | $87.10 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $257.04 Typical High $380.19 | Professional | None | $109.65 | $257.04 | $380.19 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
5 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 $234.42 Median $524.81 Typical High $776.25 | Professional | AA · Anesthesiologist | $234.42 | $524.81 | $776.25 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $70.79 Median $112.20 Typical High $295.12 | Professional | QK · Directing 2–4 cases | $70.79 | $112.20 | $295.12 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $70.79 Median $112.20 Typical High $295.12 | Professional | QX · CRNA, directed | $70.79 | $112.20 | $295.12 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $141.25 Typical High $489.78 | Professional | QZ · CRNA, independent | $141.25 | $141.25 | $489.78 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $363.08 Median $549.54 Typical High $724.44 | Professional | QZ · CRNA, independent | $363.08 | $549.54 | $724.44 |