How much rates vary
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 $47.86 Median $316.23 Typical High $407.38 | Facility | None | $47.86 | $316.23 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $338.84 | Professional | None | $47.86 | $47.86 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $158.49 | Professional | None | $41.69 | $53.70 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $275.42 | Professional | None | $112.20 | $169.82 | $275.42 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $707.95 | Facility | None | $93.33 | $213.80 | $707.95 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $245.47 | Professional | None | $104.71 | $154.88 | $245.47 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $52.48 | Professional | None | $28.18 | $52.48 | $52.48 |
SummaCare Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $229.09 | Professional | None | $66.07 | $154.88 | $229.09 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
2 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 QX · CRNA, directed Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | QX · CRNA, directed | $162.18 | $162.18 | $194.98 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $181.97 Median $229.09 Typical High $436.52 | Professional | QZ · CRNA, independent | $181.97 | $229.09 | $436.52 |