How much rates vary
Facilitymedian $240 · 10th to 90th $30 to $490Professionalmedian $69 · 10th to 90th $30 to $295
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 $30.20 Median $239.88 Typical High $489.78 | Facility | None | $30.20 | $239.88 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $380.19 | Professional | None | $30.20 | $34.67 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $338.84 | Professional | None | $134.90 | $151.36 | $338.84 |
Oscar Health Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
Oscar Health Setting Professional Modifier None Typical Low $4.90 Median $37.15 Typical High $89.13 | Professional | None | $4.90 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $100.00 | Professional | None | $39.81 | $63.10 | $100.00 |
2 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 $69.18 Median $177.83 Typical High $281.84 | Professional | QK · Directing 2–4 cases | $69.18 | $177.83 | $281.84 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $97.72 Median $263.03 Typical High $316.23 | Professional | QX · CRNA, directed | $97.72 | $263.03 | $316.23 |