How much rates vary
Facilitymedian $117 · 10th to 90th $117 to $117Professionalmedian $170 · 10th to 90th $42 to $955
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 $50.12 Typical High $213.80 | Facility | None | $41.69 | $50.12 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $288.40 | Professional | None | $41.69 | $50.12 | $288.40 |
BCBS Texas Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $346.74 | Professional | None | $141.25 | $169.82 | $346.74 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $251.19 | Professional | None | $144.54 | $154.88 | $251.19 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,905.46 | Professional | None | $954.99 | $954.99 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $169.82 Typical High $213.80 | Facility | None | $41.69 | $169.82 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $302.00 | Professional | None | $41.69 | $50.12 | $302.00 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $371.54 | Professional | None | $51.29 | $67.61 | $371.54 |
Oscar Health Setting Professional Modifier None Typical Low $5.37 Median $25.12 Typical High $54.95 | Professional | None | $5.37 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $245.47 | Professional | None | $144.54 | $154.88 | $245.47 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
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 QK · Directing 2–4 cases Typical Low $257.04 Median $257.04 Typical High $549.54 | Professional | QK · Directing 2–4 cases | $257.04 | $257.04 | $549.54 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $257.04 Median $257.04 Typical High $549.54 | Professional | QX · CRNA, directed | $257.04 | $257.04 | $549.54 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | QZ · CRNA, independent | $645.65 | $645.65 | $645.65 |