How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $407Professionalmedian $58 · 10th to 90th $40 to $282
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 $39.81 Median $57.54 Typical High $407.38 | Facility | None | $39.81 | $57.54 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $354.81 | Professional | None | $39.81 | $57.54 | $354.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | None | $251.19 | $251.19 | $338.84 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
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 $158.49 Median $199.53 Typical High $199.53 | Professional | AA · Anesthesiologist | $158.49 | $199.53 | $199.53 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $97.72 Median $112.20 Typical High $123.03 | Professional | QK · Directing 2–4 cases | $97.72 | $112.20 | $123.03 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $97.72 Median $112.20 Typical High $123.03 | Professional | QX · CRNA, directed | $97.72 | $112.20 | $123.03 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | QY · Directing one CRNA | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | QZ · CRNA, independent | $158.49 | $158.49 | $158.49 |