How much rates vary
Facilitymedian $316 · 10th to 90th $126 to $407Professionalmedian $151 · 10th to 90th $46 to $263
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 $125.89 Median $316.23 Typical High $407.38 | Facility | None | $125.89 | $316.23 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $338.84 | Professional | None | $47.86 | $47.86 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $239.88 | Professional | None | $151.36 | $151.36 | $239.88 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $120.23 | Professional | None | $28.18 | $39.81 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $302.00 | Professional | None | $104.71 | $154.88 | $302.00 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $34.67 Median $134.90 Typical High $245.47 | Professional | None | $34.67 | $134.90 | $245.47 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $52.48 | Professional | None | $28.18 | $52.48 | $52.48 |
SummaCare Setting Professional Modifier None Typical Low $44.67 Median $104.71 Typical High $218.78 | Professional | None | $44.67 | $104.71 | $218.78 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
5 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 $229.09 Median $229.09 Typical High $645.65 | Professional | AA · Anesthesiologist | $229.09 | $229.09 | $645.65 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $50.12 Median $50.12 Typical High $295.12 | Professional | QK · Directing 2–4 cases | $50.12 | $50.12 | $295.12 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | QX · CRNA, directed | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | QY · Directing one CRNA | $60.26 | $60.26 | $60.26 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $371.54 Median $501.19 Typical High $676.08 | Professional | QZ · CRNA, independent | $371.54 | $501.19 | $676.08 |