How much rates vary
Facilitymedian $407 · 10th to 90th $30 to $525Professionalmedian $251 · 10th to 90th $42 to $631
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 $30.20 Median $407.38 Typical High $524.81 | Facility | None | $30.20 | $407.38 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $707.95 | Professional | None | $30.20 | $47.86 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $660.69 | Professional | None | $190.55 | $263.03 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $724.44 | Professional | None | $302.00 | $446.68 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $602.56 Typical High $912.01 | Professional | None | $263.03 | $602.56 | $912.01 |
Oscar Health Setting Professional Modifier None Typical Low $8.91 Median $30.90 Typical High $79.43 | Professional | None | $8.91 | $30.90 | $79.43 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $97.72 | Professional | None | $52.48 | $75.86 | $97.72 |
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 AA · Anesthesiologist Typical Low $977.24 Median $2,454.71 Typical High $2,454.71 | Professional | AA · Anesthesiologist | $977.24 | $2,454.71 | $2,454.71 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $275.42 Median $354.81 Typical High $870.96 | Professional | QK · Directing 2–4 cases | $275.42 | $354.81 | $870.96 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $234.42 Median $676.08 Typical High $912.01 | Professional | QX · CRNA, directed | $234.42 | $676.08 | $912.01 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | QY · Directing one CRNA | $954.99 | $954.99 | $954.99 |