How much rates vary
Facilitymedian $288 · 10th to 90th $30 to $372Professionalmedian $191 · 10th to 90th $32 to $468
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $30.20 Median $288.40 Typical High $371.54 | Facility | None | $30.20 | $288.40 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $501.19 | Professional | None | $30.20 | $47.86 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $467.74 | Professional | None | $134.90 | $190.55 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $489.78 | Professional | None | $199.53 | $302.00 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $446.68 Typical High $724.44 | Professional | None | $151.36 | $446.68 | $724.44 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $30.90 Typical High $79.43 | Professional | None | $7.08 | $30.90 | $79.43 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $9.55 | Professional | 53 · Discontinued | $6.03 | $6.03 | $9.55 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $66.07 Median $147.91 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $66.07 | $147.91 | $457.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $66.07 Median $128.82 Typical High $309.03 | Professional | QX · CRNA, directed | $66.07 | $128.82 | $309.03 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $107.15 Median $125.89 Typical High $144.54 | Professional | QZ · CRNA, independent | $107.15 | $125.89 | $144.54 |