How much rates vary
Facilitymedian $813 · 10th to 90th $42 to $1,349Professionalmedian $229 · 10th to 90th $52 to $912
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 $41.69 Median $851.14 Typical High $1,348.96 | Facility | None | $41.69 | $851.14 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $1,023.29 | Professional | None | $39.81 | $41.69 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,122.02 | Professional | None | $467.74 | $724.44 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,122.02 | Professional | None | $524.81 | $616.60 | $1,122.02 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $154.88 Typical High $1,174.90 | Professional | None | $57.54 | $154.88 | $1,174.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $562.34 | Professional | None | $134.90 | $154.88 | $562.34 |
MVP Health Care Setting Professional Modifier None Typical Low $275.42 Median $912.01 Typical High $1,122.02 | Professional | None | $275.42 | $912.01 | $1,122.02 |
United Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | None | $52.48 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $354.81 | Facility | None | $141.25 | $141.25 | $354.81 |
Univera Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $562.34 | Professional | None | $134.90 | $154.88 | $562.34 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $478.63 Median $1,621.81 Typical High $1,995.26 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $478.63 | $1,621.81 | $1,995.26 |