How much rates vary
Facilitymedian $148 · 10th to 90th $148 to $148Professionalmedian $525 · 10th to 90th $42 to $2,630
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 $50.12 Typical High $588.84 | Facility | None | $41.69 | $50.12 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $794.33 | Professional | None | $41.69 | $50.12 | $794.33 |
BCBS Texas Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $977.24 | Professional | None | $426.58 | $549.54 | $977.24 |
Baylor Scott & White Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $676.08 | Professional | None | $354.81 | $446.68 | $676.08 |
Christus Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $831.76 | Professional | None | $478.63 | $524.81 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $7,079.46 | Professional | None | $2,630.27 | $2,630.27 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $457.09 Typical High $588.84 | Facility | None | $41.69 | $457.09 | $588.84 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $812.83 | Professional | None | $41.69 | $50.12 | $812.83 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $707.95 | Professional | None | $134.90 | $177.83 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $14.13 Median $25.12 Typical High $54.95 | Professional | None | $14.13 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $794.33 | Professional | None | $478.63 | $524.81 | $794.33 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
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 AA · Anesthesiologist Typical Low $1,621.81 Median $2,691.53 Typical High $2,691.53 | Professional | AA · Anesthesiologist | $1,621.81 | $2,691.53 | $2,691.53 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $190.55 Median $524.81 Typical High $977.24 | Professional | QK · Directing 2–4 cases | $190.55 | $524.81 | $977.24 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $489.78 Median $645.65 Typical High $977.24 | Professional | QX · CRNA, directed | $489.78 | $645.65 | $977.24 |