How much rates vary
Facilitymedian $182 · 10th to 90th $42 to $309Professionalmedian $166 · 10th to 90th $42 to $891
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 $41.69 Median $208.93 Typical High $309.03 | Facility | None | $41.69 | $208.93 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $309.03 | Professional | None | $41.69 | $50.12 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $346.74 | Professional | None | $223.87 | $338.84 | $346.74 |
BCBS Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $257.04 | Professional | None | $120.23 | $181.97 | $257.04 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $891.25 | Professional | None | $39.81 | $67.61 | $891.25 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
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 $141.25 Median $141.25 Typical High $309.03 | Professional | QZ · CRNA, independent | $141.25 | $141.25 | $309.03 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | QZ · CRNA, independent | $354.81 | $354.81 | $354.81 |