How much rates vary
Facilitymedian $62 · 10th to 90th $48 to $437Professionalmedian $295 · 10th to 90th $48 to $550
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 $47.86 Median $47.86 Typical High $436.52 | Facility | None | $47.86 | $47.86 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $562.34 | Professional | None | $43.65 | $47.86 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $467.74 | Professional | None | $169.82 | $295.12 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $323.59 | Facility | None | $95.50 | $125.89 | $323.59 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $331.13 | Professional | None | $91.20 | $158.49 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $1,071.52 | Professional | None | $316.23 | $457.09 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | None | $380.19 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | None | $43.65 | $53.70 | $70.79 |
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 AD · Supervising 5+ Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | AD · Supervising 5+ | $173.78 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | QK · Directing 2–4 cases | $131.83 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | QX · CRNA, directed | $131.83 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | QZ · CRNA, independent | $363.08 | $363.08 | $363.08 |