How much rates vary
Facilitymedian $309 · 10th to 90th $48 to $407Professionalmedian $158 · 10th to 90th $46 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 $54.95 Median $316.23 Typical High $407.38 | Facility | None | $54.95 | $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 $12.59 Median $154.88 Typical High $575.44 | Facility | None | $12.59 | $154.88 | $575.44 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $57.54 Median $151.36 Typical High $234.42 | Professional | None | $57.54 | $151.36 | $234.42 |
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 |
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 QK · Directing 2–4 cases Typical Low $112.20 Median $117.49 Typical High $295.12 | Professional | QK · Directing 2–4 cases | $112.20 | $117.49 | $295.12 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $112.20 Median $117.49 Typical High $295.12 | Professional | QX · CRNA, directed | $112.20 | $117.49 | $295.12 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $141.25 Typical High $323.59 | Professional | QZ · CRNA, independent | $141.25 | $141.25 | $323.59 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $275.42 Median $457.09 Typical High $645.65 | Professional | QZ · CRNA, independent | $275.42 | $457.09 | $645.65 |