How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $427Professionalmedian $407 · 10th to 90th $50 to $562
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $478.63 | Professional | None | $50.12 | $50.12 | $478.63 |
BCBS Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $512.86 | Professional | None | $371.54 | $467.74 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $457.09 | Professional | None | $346.74 | $398.11 | $457.09 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $269.15 Typical High $478.63 | Professional | None | $50.12 | $269.15 | $478.63 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Facility | None | $52.48 | $61.66 | $61.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $112.20 | Professional | None | $53.70 | $61.66 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $478.63 | Professional | None | $407.38 | $426.58 | $478.63 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $630.96 | Professional | None | $426.58 | $562.34 | $630.96 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $74.13 | Professional | None | $38.02 | $54.95 | $74.13 |
9 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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $346.74 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $257.04 | $346.74 | $354.81 |
BCBS Setting Professional Modifier AD · Supervising 5+ Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | AD · Supervising 5+ | $204.17 | $204.17 | $239.88 |
BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | QK · Directing 2–4 cases | $204.17 | $204.17 | $239.88 |
BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | QX · CRNA, directed | $204.17 | $204.17 | $239.88 |
BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | QY · Directing one CRNA | $204.17 | $204.17 | $239.88 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $204.17 Median $213.80 Typical High $239.88 | Professional | AD · Supervising 5+ | $204.17 | $213.80 | $239.88 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $204.17 Median $213.80 Typical High $239.88 | Professional | QK · Directing 2–4 cases | $204.17 | $213.80 | $239.88 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $204.17 Median $213.80 Typical High $239.88 | Professional | QX · CRNA, directed | $204.17 | $213.80 | $239.88 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $204.17 Median $213.80 Typical High $239.88 | Professional | QY · Directing one CRNA | $204.17 | $213.80 | $239.88 |