How much rates vary
Facilitymedian $224 · 10th to 90th $145 to $355Professionalmedian $58 · 10th to 90th $22 to $339
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 $144.54 Median $223.87 Typical High $354.81 | Facility | None | $144.54 | $223.87 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $218.78 Typical High $371.54 | Professional | None | $47.86 | $218.78 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $263.03 | Professional | None | $223.87 | $245.47 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $263.03 | Professional | None | $128.82 | $151.36 | $263.03 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $891.25 | Professional | None | $45.71 | $61.66 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | None | $323.59 | $323.59 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $371.54 | Professional | None | $251.19 | $354.81 | $371.54 |
Oscar Health Setting Professional Modifier None Typical Low $3.55 Median $23.44 Typical High $47.86 | Professional | None | $3.55 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | None | $275.42 | $275.42 | $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 |
|---|---|---|---|---|---|
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | QX · CRNA, directed | $169.82 | $169.82 | $169.82 |