How much rates vary
Facilitymedian $257 · 10th to 90th $48 to $407Professionalmedian $155 · 10th to 90th $45 to $282
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 $316.23 Typical High $407.38 | Facility | None | $51.29 | $316.23 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $338.84 | Professional | None | $44.67 | $47.86 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $158.49 | Professional | None | $41.69 | $53.70 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $275.42 | Professional | None | $112.20 | $169.82 | $275.42 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $15.14 Median $177.83 Typical High $954.99 | Facility | None | $15.14 | $177.83 | $954.99 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $26.30 Median $134.90 Typical High $229.09 | Professional | None | $26.30 | $134.90 | $229.09 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $52.48 | Professional | None | $28.18 | $52.48 | $52.48 |
SummaCare Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $269.15 | Professional | None | $66.07 | $154.88 | $269.15 |
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 QK · Directing 2–4 cases Typical Low $50.12 Median $97.72 Typical High $323.59 | Professional | QK · Directing 2–4 cases | $50.12 | $97.72 | $323.59 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $60.26 Median $125.89 Typical High $323.59 | Professional | QX · CRNA, directed | $60.26 | $125.89 | $323.59 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $60.26 Median $85.11 Typical High $125.89 | Professional | QY · Directing one CRNA | $60.26 | $85.11 | $125.89 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $102.33 Median $102.33 Typical High $323.59 | Professional | QZ · CRNA, independent | $102.33 | $102.33 | $323.59 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $257.04 Median $371.54 Typical High $575.44 | Professional | QZ · CRNA, independent | $257.04 | $371.54 | $575.44 |