How much rates vary
Facilitymedian $724 · 10th to 90th $42 to $1,202Professionalmedian $224 · 10th to 90th $52 to $832
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 $41.69 Median $758.58 Typical High $1,202.26 | Facility | None | $41.69 | $758.58 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $912.01 | Professional | None | $39.81 | $41.69 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $1,000.00 | Professional | None | $407.38 | $645.65 | $1,000.00 |
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 $457.09 Median $537.03 Typical High $977.24 | Professional | None | $457.09 | $537.03 | $977.24 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $154.88 Typical High $1,174.90 | Professional | None | $57.54 | $154.88 | $1,174.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $501.19 | Professional | None | $117.49 | $141.25 | $501.19 |
MVP Health Care Setting Professional Modifier None Typical Low $245.47 Median $812.83 Typical High $1,000.00 | Professional | None | $245.47 | $812.83 | $1,000.00 |
United Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | None | $52.48 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $309.03 | Facility | None | $141.25 | $141.25 | $309.03 |
Univera Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $501.19 | Professional | None | $117.49 | $141.25 | $501.19 |
3 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 QZ · CRNA, independent Typical Low $1,096.48 Median $1,096.48 Typical High $1,737.80 | Professional | QZ · CRNA, independent | $1,096.48 | $1,096.48 | $1,737.80 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $309.03 Median $977.24 Typical High $1,412.54 | Professional | AA · Anesthesiologist | $309.03 | $977.24 | $1,412.54 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $691.83 Median $1,000.00 Typical High $1,230.27 | Professional | QX · CRNA, directed | $691.83 | $1,000.00 | $1,230.27 |