How much rates vary
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 $251.19 Median $275.42 Typical High $275.42 | Facility | None | $251.19 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $251.19 Typical High $275.42 | Professional | None | $41.69 | $251.19 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $323.59 | Professional | None | $302.00 | $302.00 | $323.59 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $1,122.02 | Professional | None | $44.67 | $60.26 | $1,122.02 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $83.18 | Professional | None | $44.67 | $60.26 | $83.18 |
Wellmark Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | None | $309.03 | $309.03 | $389.05 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | QX · CRNA, directed | $194.98 | $194.98 | $213.80 |
1 more rate 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier AA · Anesthesiologist Typical Low $354.81 Median $398.11 Typical High $436.52 | Professional | AA · Anesthesiologist | $354.81 | $398.11 | $436.52 |