How much rates vary
Facilitymedian $447 · 10th to 90th $288 to $708Professionalmedian $52 · 10th to 90th $21 to $631
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 $288.40 Median $446.68 Typical High $707.95 | Facility | None | $288.40 | $446.68 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $363.08 Typical High $707.95 | Professional | None | $43.65 | $363.08 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $616.60 | Professional | None | $524.81 | $575.44 | $616.60 |
Hally Health Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $645.65 | Professional | None | $338.84 | $398.11 | $645.65 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $1,819.70 | Professional | None | $45.71 | $61.66 | $1,819.70 |
Oscar Health Setting Professional Modifier None Typical Low $12.30 Median $23.44 Typical High $47.86 | Professional | None | $12.30 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | None | $549.54 | $549.54 | $691.83 |
1 more rate 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 |
|---|---|---|---|---|---|
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | QX · CRNA, directed | $338.84 | $338.84 | $338.84 |