How much rates vary
Facilitymedian $324 · 10th to 90th $200 to $347Professionalmedian $71 · 10th to 90th $48 to $347
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 $199.53 Median $323.59 Typical High $346.74 | Facility | None | $199.53 | $323.59 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $199.53 Typical High $346.74 | Professional | None | $50.12 | $199.53 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $524.81 | Professional | None | $144.54 | $223.87 | $524.81 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $95.50 | Professional | None | $44.67 | $60.26 | $95.50 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $501.19 Median $512.86 Typical High $630.96 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $501.19 | $512.86 | $630.96 |