How much rates vary
Facilitymedian $30 · 10th to 90th $30 to $724Professionalmedian $62 · 10th to 90th $30 to $372
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 $30.20 Median $30.20 Typical High $724.44 | Facility | None | $30.20 | $30.20 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $426.58 | Professional | None | $30.20 | $30.20 | $426.58 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | QX · CRNA, directed | $97.72 | $97.72 | $125.89 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $100.00 Median $100.00 Typical High $218.78 | Professional | QZ · CRNA, independent | $100.00 | $100.00 | $218.78 |
BCBS South Carolina Setting Professional Modifier AA · Anesthesiologist Typical Low $141.25 Median $147.91 Typical High $263.03 | Professional | AA · Anesthesiologist | $141.25 | $147.91 | $263.03 |
BCBS South Carolina Setting Professional Modifier QX · CRNA, directed Typical Low $39.81 Median $70.79 Typical High $125.89 | Professional | QX · CRNA, directed | $39.81 | $70.79 | $125.89 |
BCBS South Carolina Setting Professional Modifier QZ · CRNA, independent Typical Low $112.20 Median $134.90 Typical High $169.82 | Professional | QZ · CRNA, independent | $112.20 | $134.90 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $398.11 | Professional | None | $181.97 | $199.53 | $398.11 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $204.17 Typical High $407.38 | Professional | None | $77.62 | $204.17 | $407.38 |
United Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $81.28 | Professional | None | $41.69 | $61.66 | $81.28 |
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 QK · Directing 2–4 cases Typical Low $77.62 Median $97.72 Typical High $125.89 | Professional | QK · Directing 2–4 cases | $77.62 | $97.72 | $125.89 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $66.07 Median $85.11 Typical High $91.20 | Professional | QY · Directing one CRNA | $66.07 | $85.11 | $91.20 |