How much rates vary
Facilitymedian $501 · 10th to 90th $324 to $813Professionalmedian $52 · 10th to 90th $21 to $724
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 $323.59 Median $501.19 Typical High $812.83 | Facility | None | $323.59 | $501.19 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $489.78 Typical High $812.83 | Professional | None | $50.12 | $489.78 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $707.95 | Professional | None | $602.56 | $660.69 | $707.95 |
Hally Health Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $724.44 | Professional | None | $380.19 | $446.68 | $724.44 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $2,041.74 | Professional | None | $45.71 | $61.66 | $2,041.74 |
Oscar Health Setting Professional Modifier None Typical Low $14.13 Median $23.44 Typical High $47.86 | Professional | None | $14.13 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $776.25 | Professional | None | $616.60 | $616.60 | $776.25 |
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 |
|---|---|---|---|---|---|
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | QX · CRNA, directed | $389.05 | $389.05 | $389.05 |