How much rates vary
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 $204.17 Median $218.78 Typical High $218.78 | Facility | None | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $173.78 Typical High $218.78 | Professional | None | $38.02 | $173.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $245.47 | Professional | None | $229.09 | $229.09 | $245.47 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $891.25 | Professional | None | $44.67 | $60.26 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $331.13 | Professional | None | $257.04 | $323.59 | $331.13 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $83.18 | Professional | None | $44.67 | $60.26 | $83.18 |
Wellmark Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | None | $251.19 | $251.19 | $309.03 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | QX · CRNA, directed | $154.88 | $154.88 | $169.82 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier AA · Anesthesiologist Typical Low $208.93 Median $239.88 Typical High $263.03 | Professional | AA · Anesthesiologist | $208.93 | $239.88 | $263.03 |