How much rates vary
Facilitymedian $398 · 10th to 90th $251 to $631Professionalmedian $52 · 10th to 90th $21 to $537
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 $251.19 Median $398.11 Typical High $630.96 | Facility | None | $251.19 | $398.11 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $354.81 Typical High $630.96 | Professional | None | $47.86 | $354.81 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $524.81 | Professional | None | $446.68 | $489.78 | $524.81 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $489.78 | Professional | None | $251.19 | $302.00 | $489.78 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $1,584.89 | Professional | None | $45.71 | $61.66 | $1,584.89 |
Oscar Health Setting Professional Modifier None Typical Low $8.91 Median $23.44 Typical High $47.86 | Professional | None | $8.91 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None | $478.63 | $478.63 | $602.56 |
1 more rate 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 |
|---|---|---|---|---|---|
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | QX · CRNA, directed | $302.00 | $302.00 | $302.00 |