How much rates vary
Facilitymedian $288 · 10th to 90th $30 to $372Professionalmedian $182 · 10th to 90th $43 to $447
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 $288.40 Typical High $371.54 | Facility | None | $30.20 | $288.40 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $512.86 | Professional | None | $30.20 | $47.86 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $467.74 | Professional | None | $134.90 | $190.55 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $489.78 | Professional | None | $199.53 | $302.00 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $660.69 | Professional | None | $190.55 | $436.52 | $660.69 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $30.90 Typical High $79.43 | Professional | None | $7.08 | $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 |
3 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 $398.11 Median $616.60 Typical High $616.60 | Professional | QK · Directing 2–4 cases | $398.11 | $616.60 | $616.60 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $398.11 Median $478.63 Typical High $478.63 | Professional | QX · CRNA, directed | $398.11 | $478.63 | $478.63 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | QZ · CRNA, independent | $295.12 | $295.12 | $295.12 |