How much rates vary
Facilitymedian $45 · 10th to 90th $40 to $1,698Professionalmedian $63 · 10th to 90th $39 to $955
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 $44.67 Typical High $1,698.24 | Facility | None | $39.81 | $44.67 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $954.99 | Professional | None | $38.02 | $44.67 | $954.99 |
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 $436.52 Median $660.69 Typical High $1,412.54 | Professional | None | $436.52 | $660.69 | $1,412.54 |
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 $141.25 Median $1,202.26 Typical High $1,778.28 | Professional | None | $141.25 | $1,202.26 | $1,778.28 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
4 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 $977.24 Median $2,398.83 Typical High $3,630.78 | Professional | QK · Directing 2–4 cases | $977.24 | $2,398.83 | $3,630.78 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $128.82 Median $1,380.38 Typical High $3,981.07 | Professional | QX · CRNA, directed | $128.82 | $1,380.38 | $3,981.07 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | QY · Directing one CRNA | $295.12 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $3,235.94 Median $4,677.35 Typical High $4,677.35 | Professional | QZ · CRNA, independent | $3,235.94 | $4,677.35 | $4,677.35 |