How much rates vary
Facilitymedian $89 · 10th to 90th $89 to $89Professionalmedian $170 · 10th to 90th $42 to $955
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 $50.12 Typical High $213.80 | Facility | None | $41.69 | $50.12 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $288.40 | Professional | None | $41.69 | $50.12 | $288.40 |
BCBS Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $346.74 | Professional | None | $141.25 | $169.82 | $346.74 |
Baylor Scott & White Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | None | $323.59 | $323.59 | $363.08 |
Christus Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $251.19 | Professional | None | $144.54 | $154.88 | $251.19 |
Health Smart Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $281.84 | Professional | None | $199.53 | $234.42 | $281.84 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,905.46 | Professional | None | $954.99 | $954.99 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $169.82 Typical High $213.80 | Facility | None | $41.69 | $169.82 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $288.40 | Professional | None | $41.69 | $50.12 | $288.40 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $371.54 | Professional | None | $51.29 | $67.61 | $371.54 |
Oscar Health Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Oscar Health Setting Professional Modifier None Typical Low $5.37 Median $25.12 Typical High $54.95 | Professional | None | $5.37 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $245.47 | Professional | None | $144.54 | $154.88 | $245.47 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
6 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 $162.18 Median $181.97 Typical High $707.95 | Professional | AA · Anesthesiologist | $162.18 | $181.97 | $707.95 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $81.28 Median $229.09 Typical High $323.59 | Professional | QK · Directing 2–4 cases | $81.28 | $229.09 | $323.59 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $81.28 Median $257.04 Typical High $323.59 | Professional | QX · CRNA, directed | $81.28 | $257.04 | $323.59 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $239.88 Median $588.84 Typical High $1,047.13 | Professional | QZ · CRNA, independent | $239.88 | $588.84 | $1,047.13 |
Moda Health Setting Professional Modifier P1 · Healthy patient Typical Low $74.13 Median $100.00 Typical High $229.09 | Professional | P1 · Healthy patient | $74.13 | $100.00 | $229.09 |
Moda Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $43.65 Median $64.57 Typical High $93.33 | Professional | QK · Directing 2–4 cases | $43.65 | $64.57 | $93.33 |