How much rates vary
Facilitymedian $417 · 10th to 90th $48 to $813Professionalmedian $339 · 10th to 90th $45 to $562
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 $630.96 Typical High $812.83 | Facility | None | $47.86 | $630.96 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $676.08 | Professional | None | $46.77 | $47.86 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $323.59 | Professional | None | $95.50 | $107.15 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $645.65 | Professional | None | $257.04 | $389.05 | $645.65 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $16.22 Median $186.21 Typical High $398.11 | Facility | None | $16.22 | $186.21 | $398.11 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $26.92 Median $302.00 Typical High $537.03 | Professional | None | $26.92 | $302.00 | $537.03 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $52.48 Typical High $123.03 | Professional | None | $30.20 | $52.48 | $123.03 |
SummaCare Setting Professional Modifier None Typical Low $151.36 Median $354.81 Typical High $630.96 | Professional | None | $151.36 | $354.81 | $630.96 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
4 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 QK · Directing 2–4 cases Typical Low $213.80 Median $218.78 Typical High $588.84 | Professional | QK · Directing 2–4 cases | $213.80 | $218.78 | $588.84 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $151.36 Median $199.53 Typical High $588.84 | Professional | QX · CRNA, directed | $151.36 | $199.53 | $588.84 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $346.74 Median $363.08 Typical High $467.74 | Professional | QZ · CRNA, independent | $346.74 | $363.08 | $467.74 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $691.83 Median $851.14 Typical High $1,288.25 | Professional | QZ · CRNA, independent | $691.83 | $851.14 | $1,288.25 |