How much rates vary
Facilitymedian $98 · 10th to 90th $98 to $98Professionalmedian $162 · 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 $128.82 Median $169.82 Typical High $302.00 | Professional | None | $128.82 | $169.82 | $302.00 |
Christus Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
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 $295.12 | Professional | None | $41.69 | $50.12 | $295.12 |
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 Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
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 $194.98 Median $323.59 Typical High $549.54 | Professional | QK · Directing 2–4 cases | $194.98 | $323.59 | $549.54 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $323.59 Median $354.81 Typical High $549.54 | Professional | QX · CRNA, directed | $323.59 | $354.81 | $549.54 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $977.24 Typical High $1,096.48 | Professional | QZ · CRNA, independent | $162.18 | $977.24 | $1,096.48 |