How much rates vary
Facilitymedian $209 · 10th to 90th $200 to $288Professionalmedian $71 · 10th to 90th $48 to $1,072
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 $63.10 Median $208.93 Typical High $288.40 | Facility | None | $63.10 | $208.93 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $281.84 | Professional | None | $47.86 | $52.48 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,071.52 | Professional | None | $870.96 | $1,071.52 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $288.40 | Facility | None | $199.53 | $208.93 | $288.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $281.84 | Professional | None | $52.48 | $52.48 | $281.84 |
Priority Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier QK · Directing 2–4 cases + QY · Directing one CRNA Typical Low $63.10 Median $85.11 Typical High $186.21 | Professional | QK · Directing 2–4 cases + QY · Directing one CRNA | $63.10 | $85.11 | $186.21 |