How much rates vary
Facilitymedian $174 · 10th to 90th $174 to $174Professionalmedian $372 · 10th to 90th $42 to $1,905
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 $426.58 | Facility | None | $41.69 | $50.12 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $575.44 | Professional | None | $41.69 | $50.12 | $575.44 |
BCBS Texas Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $794.33 | Professional | None | $323.59 | $389.05 | $794.33 |
Christus Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $575.44 | Professional | None | $338.84 | $363.08 | $575.44 |
Lucent Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,905.46 | $1,905.46 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $338.84 Typical High $426.58 | Facility | None | $41.69 | $338.84 | $426.58 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $602.56 | Professional | None | $41.69 | $50.12 | $602.56 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $645.65 | Professional | None | $117.49 | $158.49 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $12.30 Median $25.12 Typical High $54.95 | Professional | None | $12.30 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $562.34 | Professional | None | $338.84 | $363.08 | $562.34 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
4 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 $407.38 Median $1,288.25 Typical High $1,288.25 | Professional | AA · Anesthesiologist | $407.38 | $1,288.25 | $1,288.25 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | QK · Directing 2–4 cases | $645.65 | $645.65 | $851.14 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | QX · CRNA, directed | $645.65 | $645.65 | $851.14 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | QZ · CRNA, independent | $380.19 | $380.19 | $380.19 |