How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $324Professionalmedian $309 · 10th to 90th $50 to $417
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $363.08 | Professional | None | $50.12 | $50.12 | $363.08 |
BCBS Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $363.08 | Professional | None | $263.03 | $346.74 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $323.59 | Professional | None | $251.19 | $281.84 | $323.59 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $204.17 Typical High $363.08 | Professional | None | $50.12 | $204.17 | $363.08 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Facility | None | $52.48 | $61.66 | $61.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $112.20 | Professional | None | $53.70 | $61.66 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $363.08 | Professional | None | $309.03 | $323.59 | $363.08 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $478.63 | Professional | None | $323.59 | $416.87 | $478.63 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $74.13 | Professional | None | $38.02 | $54.95 | $74.13 |
9 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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $245.47 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $181.97 | $245.47 | $257.04 |
BCBS Setting Professional Modifier AD · Supervising 5+ Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | AD · Supervising 5+ | $151.36 | $151.36 | $181.97 |
BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | QK · Directing 2–4 cases | $151.36 | $151.36 | $181.97 |
BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | QX · CRNA, directed | $151.36 | $151.36 | $181.97 |
BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | QY · Directing one CRNA | $151.36 | $151.36 | $181.97 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $151.36 Median $162.18 Typical High $181.97 | Professional | AD · Supervising 5+ | $151.36 | $162.18 | $181.97 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $151.36 Median $162.18 Typical High $181.97 | Professional | QK · Directing 2–4 cases | $151.36 | $162.18 | $181.97 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $151.36 Median $162.18 Typical High $181.97 | Professional | QX · CRNA, directed | $151.36 | $162.18 | $181.97 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $151.36 Median $162.18 Typical High $181.97 | Professional | QY · Directing one CRNA | $151.36 | $162.18 | $181.97 |