How much rates vary
Facilitymedian $537 · 10th to 90th $51 to $813Professionalmedian $339 · 10th to 90th $47 to $562
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 $51.29 Median $630.96 Typical High $812.83 | Facility | None | $51.29 | $630.96 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $676.08 | Professional | None | $47.86 | $47.86 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $323.59 | Professional | None | $95.50 | $107.15 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $645.65 | Professional | None | $257.04 | $389.05 | $645.65 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $33.88 Median $138.04 Typical High $707.95 | Facility | None | $33.88 | $138.04 | $707.95 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $47.86 Median $316.23 Typical High $549.54 | Professional | None | $47.86 | $316.23 | $549.54 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $123.03 | Professional | None | $50.12 | $60.26 | $123.03 |
SummaCare Setting Professional Modifier None Typical Low $151.36 Median $354.81 Typical High $524.81 | Professional | None | $151.36 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
5 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 AA · Anesthesiologist Typical Low $204.17 Median $204.17 Typical High $346.74 | Professional | AA · Anesthesiologist | $204.17 | $204.17 | $346.74 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $112.20 Median $162.18 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $112.20 | $162.18 | $457.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $144.54 Median $162.18 Typical High $457.09 | Professional | QX · CRNA, directed | $144.54 | $162.18 | $457.09 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $199.53 Median $263.03 Typical High $436.52 | Professional | QZ · CRNA, independent | $199.53 | $263.03 | $436.52 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $223.87 Median $295.12 Typical High $371.54 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $223.87 | $295.12 | $371.54 |