How much rates vary
Facilitymedian $56 · 10th to 90th $56 to $56Professionalmedian $347 · 10th to 90th $200 to $417
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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $389.05 | Professional | None | $56.23 | $56.23 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | None | $204.17 | $204.17 | $309.03 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $380.19 | Professional | None | $275.42 | $323.59 | $380.19 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $138.04 Median $162.18 Typical High $190.55 | Professional | AD · Supervising 5+ | $138.04 | $162.18 | $190.55 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $138.04 Median $162.18 Typical High $190.55 | Professional | QK · Directing 2–4 cases | $138.04 | $162.18 | $190.55 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $138.04 Median $162.18 Typical High $190.55 | Professional | QX · CRNA, directed | $138.04 | $162.18 | $190.55 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $138.04 Median $162.18 Typical High $190.55 | Professional | QY · Directing one CRNA | $138.04 | $162.18 | $190.55 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $389.05 Typical High $416.87 | Professional | None | $199.53 | $389.05 | $416.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $524.81 | Professional | None | $316.23 | $407.38 | $524.81 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $8.91 | $11.22 | $11.22 |