How much rates vary
Facilitymedian $257 · 10th to 90th $30 to $6,918Professionalmedian $145 · 10th to 90th $42 to $355
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 $234.42 Typical High $302.00 | Facility | None | $30.20 | $234.42 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $398.11 | Professional | None | $30.20 | $47.86 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $371.54 | Professional | None | $107.15 | $151.36 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $363.08 | Professional | None | $151.36 | $223.87 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $346.74 Typical High $524.81 | Professional | None | $151.36 | $346.74 | $524.81 |
Oscar Health Setting Facility Modifier None Typical Low $3,235.94 Median $4,570.88 Typical High $6,918.31 | Facility | None | $3,235.94 | $4,570.88 | $6,918.31 |
Oscar Health Setting Professional Modifier None Typical Low $5.37 Median $30.90 Typical High $79.43 | Professional | None | $5.37 | $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 |
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 $125.89 Median $125.89 Typical High $426.58 | Professional | AA · Anesthesiologist | $125.89 | $125.89 | $426.58 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $70.79 Median $457.09 Typical High $954.99 | Professional | QK · Directing 2–4 cases | $70.79 | $457.09 | $954.99 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $91.20 Median $104.71 Typical High $562.34 | Professional | QX · CRNA, directed | $91.20 | $104.71 | $562.34 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $109.65 Median $177.83 Typical High $398.11 | Professional | QY · Directing one CRNA | $109.65 | $177.83 | $398.11 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $162.18 Typical High $588.84 | Professional | QZ · CRNA, independent | $162.18 | $162.18 | $588.84 |