How much rates vary
Facilitymedian $302 · 10th to 90th $49 to $398Professionalmedian $76 · 10th to 90th $44 to $389
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 $218.78 Median $398.11 Typical High $398.11 | Facility | None | $218.78 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $371.54 Typical High $398.11 | Professional | None | $43.65 | $371.54 | $398.11 |
BCBS Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $123.03 | Facility | None | $44.67 | $60.26 | $123.03 |
BCBS Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $389.05 | Professional | None | $371.54 | $380.19 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $363.08 | Professional | None | $302.00 | $309.03 | $363.08 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Facility | None | $204.17 | $204.17 | $213.80 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $181.97 | Professional | None | $56.23 | $67.61 | $181.97 |
Oscar Health Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Facility | None | $6,025.60 | $6,025.60 | $7,079.46 |
Oscar Health Setting Professional Modifier None Typical Low $3.98 Median $4.68 Typical High $22.91 | Professional | None | $3.98 | $4.68 | $22.91 |
United Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | None | $56.23 | $64.57 | $83.18 |
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 $426.58 Median $562.34 Typical High $1,230.27 | Professional | AA · Anesthesiologist | $426.58 | $562.34 | $1,230.27 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $199.53 Median $199.53 Typical High $363.08 | Professional | QX · CRNA, directed | $199.53 | $199.53 | $363.08 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $257.04 Typical High $1,148.15 | Professional | QZ · CRNA, independent | $162.18 | $257.04 | $1,148.15 |