How much rates vary
Facilitymedian $263 · 10th to 90th $251 to $363Professionalmedian $52 · 10th to 90th $52 to $347
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 $63.10 Median $257.04 Typical High $363.08 | Facility | None | $63.10 | $257.04 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $346.74 | Professional | None | $47.86 | $52.48 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $8.91 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $467.74 | Professional | None | $158.49 | $239.88 | $467.74 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $363.08 | Facility | None | $251.19 | $263.03 | $363.08 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $346.74 | Professional | None | $52.48 | $52.48 | $346.74 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.00 | $10.47 | $10.47 |
Priority Health Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $338.84 | Professional | None | $151.36 | $239.88 | $338.84 |
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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier QK · Directing 2–4 cases + QY · Directing one CRNA Typical Low $83.18 Median $112.20 Typical High $251.19 | Professional | QK · Directing 2–4 cases + QY · Directing one CRNA | $83.18 | $112.20 | $251.19 |