How much rates vary
Facilitymedian $363 · 10th to 90th $30 to $457Professionalmedian $302 · 10th to 90th $30 to $427
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 $30.20 Median $363.08 Typical High $457.09 | Facility | None | $30.20 | $363.08 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $371.54 | Professional | None | $30.20 | $30.20 | $371.54 |
AmeriHealth Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $501.19 | Professional | None | $323.59 | $338.84 | $501.19 |
Capital Blue Cross Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $426.58 | Professional | None | $169.82 | $316.23 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $338.84 | Professional | None | $169.82 | $218.78 | $338.84 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $407.38 Typical High $724.44 | Professional | None | $87.10 | $407.38 | $724.44 |
Independence Blue Cross Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $407.38 | Professional | None | $323.59 | $338.84 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $323.59 Typical High $446.68 | Facility | None | $30.20 | $323.59 | $446.68 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $354.81 | Professional | None | $30.20 | $30.20 | $354.81 |
Oscar Health Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,370.32 | Facility | None | $4,786.30 | $4,786.30 | $5,370.32 |
Oscar Health Setting Professional Modifier None Typical Low $3.98 Median $30.90 Typical High $77.62 | Professional | None | $3.98 | $30.90 | $77.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None | $34.67 | $54.95 | $75.86 |
12 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 QX · CRNA, directed Typical Low $50.12 Median $117.49 Typical High $117.49 | Professional | QX · CRNA, directed | $50.12 | $117.49 | $117.49 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $117.49 Median $263.03 Typical High $380.19 | Professional | AA · Anesthesiologist | $117.49 | $263.03 | $380.19 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $117.49 Median $263.03 Typical High $380.19 | Professional | AD · Supervising 5+ | $117.49 | $263.03 | $380.19 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $117.49 Median $263.03 Typical High $380.19 | Professional | QK · Directing 2–4 cases | $117.49 | $263.03 | $380.19 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $117.49 Median $263.03 Typical High $380.19 | Professional | QX · CRNA, directed | $117.49 | $263.03 | $380.19 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $117.49 Median $263.03 Typical High $380.19 | Professional | QY · Directing one CRNA | $117.49 | $263.03 | $380.19 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $117.49 Median $263.03 Typical High $380.19 | Professional | QZ · CRNA, independent | $117.49 | $263.03 | $380.19 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $346.74 Median $489.78 Typical High $851.14 | Professional | AA · Anesthesiologist | $346.74 | $489.78 | $851.14 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $309.03 Median $371.54 Typical High $512.86 | Professional | QK · Directing 2–4 cases | $309.03 | $371.54 | $512.86 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $323.59 Median $398.11 Typical High $501.19 | Professional | QX · CRNA, directed | $323.59 | $398.11 | $501.19 |
Highmark BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $302.00 Median $331.13 Typical High $398.11 | Professional | QY · Directing one CRNA | $302.00 | $331.13 | $398.11 |
Highmark BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $269.15 Median $338.84 Typical High $436.52 | Professional | QZ · CRNA, independent | $269.15 | $338.84 | $436.52 |