How much rates vary
Facilitymedian $234 · 10th to 90th $30 to $302Professionalmedian $145 · 10th to 90th $43 to $355
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 $234.42 Typical High $302.00 | Facility | None | $30.20 | $234.42 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $407.38 | Professional | None | $30.20 | $47.86 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $371.54 | Professional | None | $107.15 | $151.36 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $363.08 | Professional | None | $151.36 | $223.87 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $346.74 Typical High $524.81 | Professional | None | $151.36 | $346.74 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $5.37 Median $30.90 Typical High $79.43 | Professional | None | $5.37 | $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 AA · Anesthesiologist Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | AA · Anesthesiologist | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $117.49 Median $457.09 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $117.49 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $51.29 Median $52.48 Typical High $398.11 | Professional | QX · CRNA, directed | $51.29 | $52.48 | $398.11 |