How much rates vary
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 $302.00 Median $331.13 Typical High $331.13 | Facility | None | $302.00 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $302.00 Typical High $331.13 | Professional | None | $41.69 | $302.00 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | None | $380.19 | $380.19 | $407.38 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $1,348.96 | Professional | None | $44.67 | $60.26 | $1,348.96 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $83.18 | Professional | None | $44.67 | $60.26 | $83.18 |
Wellmark Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $467.74 | Professional | None | $371.54 | $371.54 | $467.74 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | QX · CRNA, directed | $234.42 | $234.42 | $257.04 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier AA · Anesthesiologist Typical Low $416.87 Median $478.63 Typical High $524.81 | Professional | AA · Anesthesiologist | $416.87 | $478.63 | $524.81 |