How much rates vary
Facilitymedian $81 · 10th to 90th $81 to $81Professionalmedian $214 · 10th to 90th $42 to $1,202
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 $263.03 | Facility | None | $41.69 | $50.12 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $363.08 | Professional | None | $41.69 | $50.12 | $363.08 |
BCBS Texas Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $398.11 | Professional | None | $173.78 | $223.87 | $398.11 |
Baylor Scott & White Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $338.84 | Professional | None | $177.83 | $245.47 | $338.84 |
Christus Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $331.13 | Professional | None | $190.55 | $208.93 | $331.13 |
Health Smart Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $338.84 | Professional | None | $223.87 | $257.04 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,202.26 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $208.93 Typical High $263.03 | Facility | None | $41.69 | $208.93 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $371.54 | Professional | None | $41.69 | $50.12 | $371.54 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $436.52 | Professional | None | $72.44 | $93.33 | $436.52 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $25.12 Typical High $54.95 | Professional | None | $7.08 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $323.59 | Professional | None | $190.55 | $208.93 | $323.59 |
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 $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
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 $141.25 Median $588.84 Typical High $645.65 | Professional | AA · Anesthesiologist | $141.25 | $588.84 | $645.65 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $74.13 Median $295.12 Typical High $295.12 | Professional | QK · Directing 2–4 cases | $74.13 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $74.13 Median $295.12 Typical High $295.12 | Professional | QX · CRNA, directed | $74.13 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $588.84 Typical High $707.95 | Professional | QZ · CRNA, independent | $162.18 | $588.84 | $707.95 |