How much rates vary
Facilitymedian $468 · 10th to 90th $30 to $603Professionalmedian $288 · 10th to 90th $42 to $724
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 $30.20 Median $467.74 Typical High $602.56 | Facility | None | $30.20 | $467.74 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $794.33 | Professional | None | $30.20 | $47.86 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $741.31 | Professional | None | $213.80 | $302.00 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $851.14 | Professional | None | $346.74 | $524.81 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $691.83 Typical High $1,047.13 | Professional | None | $302.00 | $691.83 | $1,047.13 |
Oscar Health Setting Professional Modifier None Typical Low $12.30 Median $30.90 Typical High $79.43 | Professional | None | $12.30 | $30.90 | $79.43 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $97.72 | Professional | None | $52.48 | $75.86 | $97.72 |
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 AA · Anesthesiologist Typical Low $891.25 Median $891.25 Typical High $1,584.89 | Professional | AA · Anesthesiologist | $891.25 | $891.25 | $1,584.89 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $112.20 Median $512.86 Typical High $676.08 | Professional | QK · Directing 2–4 cases | $112.20 | $512.86 | $676.08 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $131.83 Median $478.63 Typical High $660.69 | Professional | QX · CRNA, directed | $131.83 | $478.63 | $660.69 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | QZ · CRNA, independent | $181.97 | $181.97 | $204.17 |