How much rates vary
Facilitymedian $468 · 10th to 90th $48 to $617Professionalmedian $257 · 10th to 90th $47 to $417
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 $91.20 Median $467.74 Typical High $616.60 | Facility | None | $91.20 | $467.74 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $501.19 | Professional | None | $47.86 | $47.86 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $239.88 | Professional | None | $67.61 | $79.43 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $457.09 | Professional | None | $186.21 | $281.84 | $457.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $21.88 Median $173.78 Typical High $2,344.23 | Facility | None | $21.88 | $173.78 | $2,344.23 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $416.87 | Professional | None | $173.78 | $269.15 | $416.87 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $87.10 | Professional | None | $46.77 | $52.48 | $87.10 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $257.04 Typical High $380.19 | Professional | None | $109.65 | $257.04 | $380.19 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
4 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 $213.80 Median $295.12 Typical High $549.54 | Professional | QK · Directing 2–4 cases | $213.80 | $295.12 | $549.54 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $295.12 Typical High $549.54 | Professional | QX · CRNA, directed | $213.80 | $295.12 | $549.54 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | QZ · CRNA, independent | $323.59 | $323.59 | $323.59 |
Aultcare Setting Professional Modifier QX · CRNA, directed + QY · Directing one CRNA Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | QX · CRNA, directed + QY · Directing one CRNA | $346.74 | $346.74 | $446.68 |