How much rates vary
Facilitymedian $631 · 10th to 90th $603 to $871Professionalmedian $71 · 10th to 90th $47 to $1,549
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 $63.10 Median $630.96 Typical High $870.96 | Facility | None | $63.10 | $630.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $831.76 | Professional | None | $47.86 | $52.48 | $831.76 |
CareSource Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,479.11 | $1,548.82 | $1,548.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $870.96 | Facility | None | $602.56 | $630.96 | $870.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $831.76 | Professional | None | $50.12 | $52.48 | $831.76 |
Priority Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
3 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 $204.17 Median $380.19 Typical High $380.19 | Professional | QK · Directing 2–4 cases | $204.17 | $380.19 | $380.19 |
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | QX · CRNA, directed | $446.68 | $446.68 | $446.68 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | QZ · CRNA, independent | $851.14 | $851.14 | $851.14 |