How much rates vary
Facilitymedian $550 · 10th to 90th $91 to $724Professionalmedian $295 · 10th to 90th $48 to $490
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 $91.20 Median $549.54 Typical High $724.44 | Facility | None | $91.20 | $549.54 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $588.84 | Professional | None | $47.86 | $47.86 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
CareSource Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $239.88 | Professional | None | $67.61 | $79.43 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $549.54 | Professional | None | $223.87 | $338.84 | $549.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $501.19 | Professional | None | $208.93 | $309.03 | $501.19 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $104.71 | Professional | None | $52.48 | $56.23 | $104.71 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $257.04 Typical High $380.19 | Professional | None | $109.65 | $257.04 | $380.19 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
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 QK · Directing 2–4 cases Typical Low $281.84 Median $281.84 Typical High $380.19 | Professional | QK · Directing 2–4 cases | $281.84 | $281.84 | $380.19 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $281.84 Median $380.19 Typical High $1,174.90 | Professional | QX · CRNA, directed | $281.84 | $380.19 | $1,174.90 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $263.03 Median $416.87 Typical High $446.68 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $263.03 | $416.87 | $446.68 |