How much rates vary
Facilitymedian $363 · 10th to 90th $42 to $603Professionalmedian $145 · 10th to 90th $42 to $398
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 $41.69 Median $380.19 Typical High $602.56 | Facility | None | $41.69 | $380.19 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $457.09 | Professional | None | $39.81 | $41.69 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $501.19 | Professional | None | $204.17 | $323.59 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $426.58 | Professional | None | $194.98 | $234.42 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $28.84 Median $74.13 Typical High $588.84 | Professional | None | $28.84 | $74.13 | $588.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $213.80 | Professional | None | $50.12 | $60.26 | $213.80 |
MVP Health Care Setting Professional Modifier None Typical Low $123.03 Median $407.38 Typical High $501.19 | Professional | None | $123.03 | $407.38 | $501.19 |
United Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | None | $52.48 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $131.83 | Facility | None | $61.66 | $61.66 | $131.83 |
Univera Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $213.80 | Professional | None | $50.12 | $60.26 | $213.80 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $562.34 | $562.34 | $562.34 |