How much rates vary
Facilitymedian $871 · 10th to 90th $91 to $1,122Professionalmedian $479 · 10th to 90th $48 to $776
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 $870.96 Typical High $1,122.02 | Facility | None | $91.20 | $870.96 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $933.25 | Professional | None | $47.86 | $47.86 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $776.25 | Professional | None | $562.34 | $562.34 | $776.25 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $363.08 | Professional | None | $107.15 | $120.23 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $912.01 | Professional | None | $371.54 | $562.34 | $912.01 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $229.09 | Facility | None | $154.88 | $154.88 | $229.09 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $812.83 | Professional | None | $346.74 | $501.19 | $812.83 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $173.78 | Professional | None | $52.48 | $93.33 | $173.78 |
SummaCare Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $758.58 | Professional | None | $173.78 | $407.38 | $758.58 |
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 $204.17 Median $204.17 Typical High $204.17 | Professional | QK · Directing 2–4 cases | $204.17 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $204.17 Median $204.17 Typical High $977.24 | Professional | QX · CRNA, directed | $204.17 | $204.17 | $977.24 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $741.31 Median $1,202.26 Typical High $1,513.56 | Professional | QZ · CRNA, independent | $741.31 | $1,202.26 | $1,513.56 |