How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $813Professionalmedian $52 · 10th to 90th $40 to $661
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 $812.83 | Facility | None | $39.81 | $57.54 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $707.95 | Professional | None | $39.81 | $57.54 | $707.95 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $190.55 Median $275.42 Typical High $323.59 | Professional | QX · CRNA, directed | $190.55 | $275.42 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | None | $549.54 | $549.54 | $741.31 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
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 AD · Supervising 5+ Typical Low $398.11 Median $398.11 Typical High $446.68 | Professional | AD · Supervising 5+ | $398.11 | $398.11 | $446.68 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | QK · Directing 2–4 cases | $478.63 | $478.63 | $478.63 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | QY · Directing one CRNA | $190.55 | $190.55 | $190.55 |