How much rates vary
Facilitymedian $525 · 10th to 90th $525 to $525Professionalmedian $66 · 10th to 90th $10 to $525
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $524.81 | Professional | None | $331.13 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | None | $380.19 | $446.68 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $275.42 Typical High $562.34 | Professional | None | $169.82 | $275.42 | $562.34 |
United Setting Professional Modifier None Typical Low $30.20 Median $75.86 Typical High $75.86 | Professional | None | $30.20 | $75.86 | $75.86 |
University Health Alliance Setting Professional Modifier None Typical Low $10.00 Median $48.98 Typical High $66.07 | Professional | None | $10.00 | $48.98 | $66.07 |
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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier AD · Supervising 5+ Typical Low $2.04 Median $2.04 Typical High $2.45 | Professional | AD · Supervising 5+ | $2.04 | $2.04 | $2.45 |
HMSA Setting Professional Modifier QK · Directing 2–4 cases Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | QK · Directing 2–4 cases | $2.29 | $2.29 | $2.29 |
HMSA Setting Professional Modifier QZ · CRNA, independent Typical Low $3.72 Median $4.17 Typical High $4.37 | Professional | QZ · CRNA, independent | $3.72 | $4.17 | $4.37 |