How much rates vary
Facilitymedian $417 · 10th to 90th $398 to $575Professionalmedian $78 · 10th to 90th $50 to $1,318
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 $63.10 Median $416.87 Typical High $575.44 | Facility | None | $63.10 | $416.87 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $562.34 | Professional | None | $52.48 | $52.48 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,318.26 | $1,318.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $398.11 Median $416.87 Typical High $575.44 | Facility | None | $398.11 | $416.87 | $575.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $562.34 | Professional | None | $52.48 | $52.48 | $562.34 |
Priority Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier QK · Directing 2–4 cases + QY · Directing one CRNA Typical Low $147.91 Median $194.98 Typical High $436.52 | Professional | QK · Directing 2–4 cases + QY · Directing one CRNA | $147.91 | $194.98 | $436.52 |