How much rates vary
Facilitymedian $603 · 10th to 90th $603 to $603Professionalmedian $66 · 10th to 90th $10 to $603
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $602.56 Typical High $602.56 | Professional | None | $371.54 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | None | $446.68 | $524.81 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $316.23 Typical High $630.96 | Professional | None | $194.98 | $316.23 | $630.96 |
United Setting Professional Modifier None Typical Low $30.20 Median $75.86 Typical High $75.86 | Professional | None | $30.20 | $75.86 | $75.86 |
University Health Alliance Setting Professional Modifier None Typical Low $10.00 Median $48.98 Typical High $66.07 | Professional | None | $10.00 | $48.98 | $66.07 |
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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier QS · Monitored anesthesia care Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | QS · Monitored anesthesia care | $4.17 | $4.17 | $4.17 |
HMSA Setting Professional Modifier QX · CRNA, directed Typical Low $2.04 Median $2.29 Typical High $2.45 | Professional | QX · CRNA, directed | $2.04 | $2.29 | $2.45 |