How much rates vary
Facilitymedian $45 · 10th to 90th $25 to $832Professionalmedian $62 · 10th to 90th $38 to $457
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 $24.55 Median $39.81 Typical High $831.76 | Facility | None | $24.55 | $39.81 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $478.63 | Professional | None | $38.02 | $44.67 | $478.63 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None | $21.38 | $22.91 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $630.96 | Professional | None | $199.53 | $302.00 | $630.96 |
Florida Blue Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $44.67 | Professional | None | $19.05 | $38.02 | $44.67 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $549.54 Typical High $812.83 | Professional | None | $63.10 | $549.54 | $812.83 |
United Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $85.11 | Professional | None | $44.67 | $57.54 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
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 $147.91 Median $933.25 Typical High $1,445.44 | Professional | AA · Anesthesiologist | $147.91 | $933.25 | $1,445.44 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $95.50 Median $158.49 Typical High $724.44 | Professional | QK · Directing 2–4 cases | $95.50 | $158.49 | $724.44 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $95.50 Median $218.78 Typical High $1,230.27 | Professional | QX · CRNA, directed | $95.50 | $218.78 | $1,230.27 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | QY · Directing one CRNA | $588.84 | $588.84 | $588.84 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $147.91 Median $1,174.90 Typical High $1,445.44 | Professional | QZ · CRNA, independent | $147.91 | $1,174.90 | $1,445.44 |