How much rates vary
Facilitymedian $363 · 10th to 90th $42 to $537Professionalmedian $72 · 10th to 90th $41 to $1,820
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 $41.69 Median $416.87 Typical High $616.60 | Facility | None | $41.69 | $416.87 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $616.60 | Professional | None | $41.69 | $50.12 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $645.65 | Professional | None | $331.13 | $398.11 | $645.65 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $588.84 | Professional | None | $323.59 | $426.58 | $588.84 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $1,819.70 | Professional | None | $39.81 | $69.18 | $1,819.70 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
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 QZ · CRNA, independent Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | QZ · CRNA, independent | $229.09 | $229.09 | $234.42 |
Qualchoice Setting Professional Modifier AA · Anesthesiologist Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | AA · Anesthesiologist | $758.58 | $758.58 | $758.58 |