How much rates vary
Facilitymedian $339 · 10th to 90th $214 to $537Professionalmedian $52 · 10th to 90th $21 to $468
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 $213.80 Median $338.84 Typical High $537.03 | Facility | None | $213.80 | $338.84 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $331.13 Typical High $537.03 | Professional | None | $50.12 | $331.13 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $436.52 | Professional | None | $371.54 | $407.38 | $436.52 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $489.78 | Professional | None | $251.19 | $302.00 | $489.78 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $1,348.96 | Professional | None | $45.71 | $61.66 | $1,348.96 |
Oscar Health Setting Professional Modifier None Typical Low $8.91 Median $23.44 Typical High $47.86 | Professional | None | $8.91 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $512.86 | Professional | None | $407.38 | $407.38 | $512.86 |
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 |
|---|---|---|---|---|---|
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | QX · CRNA, directed | $257.04 | $257.04 | $257.04 |