How much rates vary
Facilitymedian $661 · 10th to 90th $30 to $813Professionalmedian $537 · 10th to 90th $30 to $759
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 $30.20 Median $660.69 Typical High $812.83 | Facility | None | $30.20 | $660.69 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $691.83 | Professional | None | $30.20 | $30.20 | $691.83 |
Capital Blue Cross Setting Professional Modifier None Typical Low $309.03 Median $562.34 Typical High $758.58 | Professional | None | $309.03 | $562.34 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $676.08 | Professional | None | $338.84 | $436.52 | $676.08 |
Emblem Health Setting Professional Modifier None Typical Low $173.78 Median $724.44 Typical High $1,318.26 | Professional | None | $173.78 | $724.44 | $1,318.26 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $660.69 Typical High $812.83 | Facility | None | $30.20 | $660.69 | $812.83 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $645.65 | Professional | None | $30.20 | $30.20 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $7.94 Median $30.90 Typical High $77.62 | Professional | None | $7.94 | $30.90 | $77.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None | $34.67 | $54.95 | $75.86 |
8 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 $389.05 Median $389.05 Typical High $389.05 | Professional | QK · Directing 2–4 cases | $389.05 | $389.05 | $389.05 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $208.93 Median $478.63 Typical High $707.95 | Professional | AA · Anesthesiologist | $208.93 | $478.63 | $707.95 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $208.93 Median $478.63 Typical High $707.95 | Professional | AD · Supervising 5+ | $208.93 | $478.63 | $707.95 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $208.93 Median $478.63 Typical High $707.95 | Professional | QK · Directing 2–4 cases | $208.93 | $478.63 | $707.95 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $208.93 Median $478.63 Typical High $707.95 | Professional | QX · CRNA, directed | $208.93 | $478.63 | $707.95 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $208.93 Median $478.63 Typical High $707.95 | Professional | QY · Directing one CRNA | $208.93 | $478.63 | $707.95 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $208.93 Median $478.63 Typical High $707.95 | Professional | QZ · CRNA, independent | $208.93 | $478.63 | $707.95 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $912.01 Median $1,000.00 Typical High $2,137.96 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $912.01 | $1,000.00 | $2,137.96 |