How much rates vary
Facilitymedian $389 · 10th to 90th $55 to $513Professionalmedian $257 · 10th to 90th $48 to $363
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 $54.95 Median $389.05 Typical High $512.86 | Facility | None | $54.95 | $389.05 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $416.87 | Professional | None | $47.86 | $47.86 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $18.62 | Professional | 53 · Discontinued | $8.91 | $9.55 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None | $257.04 | $257.04 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $199.53 | Professional | None | $54.95 | $66.07 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $346.74 | Professional | None | $147.91 | $223.87 | $346.74 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $323.59 | Professional | None | $141.25 | $199.53 | $323.59 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $70.79 | Professional | None | $37.15 | $52.48 | $70.79 |
SummaCare Setting Professional Modifier None Typical Low $87.10 Median $204.17 Typical High $302.00 | Professional | None | $87.10 | $204.17 | $302.00 |
2 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 QZ · CRNA, independent Typical Low $144.54 Median $147.91 Typical High $162.18 | Professional | QZ · CRNA, independent | $144.54 | $147.91 | $162.18 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $257.04 Median $309.03 Typical High $354.81 | Professional | QZ · CRNA, independent | $257.04 | $309.03 | $354.81 |