How much rates vary
Facilitymedian $135 · 10th to 90th $35 to $363Professionalmedian $151 · 10th to 90th $39 to $447
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 $34.67 Median $218.78 Typical High $354.81 | Facility | None | $34.67 | $218.78 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $309.03 | Professional | None | $30.20 | $47.86 | $309.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $162.18 | Facility | None | $41.69 | $67.61 | $162.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $954.99 | Professional | None | $33.11 | $89.13 | $954.99 |
AmeriHealth Setting Facility Modifier None Typical Low $2,290.87 Median $3,981.07 Typical High $5,754.40 | Facility | None | $2,290.87 | $3,981.07 | $5,754.40 |
AmeriHealth Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $407.38 | Professional | None | $257.04 | $275.42 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $380.19 | Professional | None | $138.04 | $186.21 | $380.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $213.80 Median $954.99 Typical High $1,905.46 | Professional | None | $213.80 | $954.99 | $1,905.46 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None | $21.38 | $22.91 | $25.12 |
BCBS Alabama Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
BCBS Arizona Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $199.53 | Professional | None | $120.23 | $138.04 | $199.53 |
BCBS Idaho Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $239.88 | Professional | None | $158.49 | $208.93 | $239.88 |
BCBS Illinois Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $239.88 | Professional | None | $181.97 | $204.17 | $239.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
BCBS Montana Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
BCBS Nebraska Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $123.03 | Facility | None | $44.67 | $60.26 | $123.03 |
BCBS Nebraska Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03 | Professional | None | $295.12 | $309.03 | $309.03 |
BCBS New Mexico Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $158.49 | Professional | None | $74.13 | $151.36 | $158.49 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $239.88 | Professional | None | $158.49 | $208.93 | $239.88 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $83.18 | Professional | None | $40.74 | $47.86 | $83.18 |
BCBS Texas Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $302.00 | Professional | None | $134.90 | $169.82 | $302.00 |
BCBS Vermont Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | None | $199.53 | $223.87 | $223.87 |
BCBS Wyoming Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Baylor Scott & White Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $323.59 | Professional | None | $181.97 | $239.88 | $323.59 |
Blue Shield Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $218.78 | Professional | None | $128.82 | $181.97 | $218.78 |
Capital Blue Cross Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $338.84 | Professional | None | $134.90 | $251.19 | $338.84 |
CareFirst Setting Professional Modifier None Typical Low $3.16 Median $3.47 Typical High $4.17 | Professional | None | $3.16 | $3.47 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $107.15 Typical High $398.11 | Facility | None | $41.69 | $107.15 | $398.11 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $165.96 | Professional | None | $41.69 | $79.43 | $165.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $81.28 | Professional | None | $20.42 | $25.12 | $81.28 |
Christus Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
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 $131.83 Median $190.55 Typical High $354.81 | Professional | None | $131.83 | $190.55 | $354.81 |
Community Health Options Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $257.04 | Professional | None | $194.98 | $213.80 | $257.04 |
ConnectiCare Setting Professional Modifier None Typical Low $66.07 Median $346.74 Typical High $524.81 | Professional | None | $66.07 | $346.74 | $524.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $125.89 | Professional | None | $61.66 | $91.20 | $125.89 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $74.13 Typical High $120.23 | Facility | None | $60.26 | $74.13 | $120.23 |
DeanCare Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $87.10 | Professional | None | $41.69 | $41.69 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $3,630.78 | Facility | None | $1,905.46 | $3,388.44 | $3,630.78 |
Emblem Health Setting Professional Modifier None Typical Low $28.84 Median $93.33 Typical High $588.84 | Professional | None | $28.84 | $93.33 | $588.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $213.80 | Professional | None | $50.12 | $60.26 | $213.80 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $5,888.44 | Facility | None | $21.38 | $30.20 | $5,888.44 |
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 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $302.00 | Professional | None | $120.23 | $213.80 | $302.00 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | None | $151.36 | $151.36 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $100.00 | Professional | None | $47.86 | $61.66 | $100.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $288.40 | Facility | None | $199.53 | $208.93 | $288.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $269.15 | Professional | None | $43.65 | $52.48 | $269.15 |
Health New England Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Health New England Setting Professional Modifier None Typical Low $354.81 Median $1,258.93 Typical High $2,754.23 | Professional | None | $354.81 | $1,258.93 | $2,754.23 |
Health Smart Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $281.84 | Professional | None | $186.21 | $234.42 | $281.84 |
Hometown Health Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $407.38 | Professional | None | $194.98 | $257.04 | $407.38 |
Horizon BCBS Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $436.52 | Professional | None | $199.53 | $213.80 | $436.52 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,630.78 Median $5,754.40 Typical High $10,000.00 | Facility | None | $3,630.78 | $5,754.40 | $10,000.00 |
Independence Blue Cross Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $323.59 | Professional | None | $257.04 | $275.42 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $436.52 | Professional | None | $134.90 | $213.80 | $436.52 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,905.46 | Professional | None | $954.99 | $954.99 | $1,905.46 |
MVP Health Care Setting Professional Modifier None Typical Low $123.03 Median $338.84 Typical High $501.19 | Professional | None | $123.03 | $338.84 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $257.04 Typical High $363.08 | Facility | None | $30.20 | $257.04 | $363.08 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $281.84 | Professional | None | $30.20 | $33.11 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $162.18 | Facility | None | $41.69 | $67.61 | $162.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $954.99 | Professional | None | $33.11 | $89.13 | $954.99 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $81.28 Typical High $158.49 | Facility | None | $11.22 | $81.28 | $158.49 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $63.10 Typical High $891.25 | Professional | None | $7.94 | $63.10 | $891.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $12.30 Median $141.25 Typical High $776.25 | Facility | None | $12.30 | $141.25 | $776.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $32.36 Median $112.20 Typical High $218.78 | Professional | None | $32.36 | $112.20 | $218.78 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $245.47 Typical High $363.08 | Facility | None | $50.12 | $245.47 | $363.08 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $309.03 | Professional | None | $41.69 | $52.48 | $309.03 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $70.79 Typical High $416.87 | Professional | None | $34.67 | $70.79 | $416.87 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $67.61 | Facility | None | $52.48 | $61.66 | $67.61 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $72.44 | Professional | None | $53.70 | $64.57 | $72.44 |
Network Health Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $457.09 | Professional | None | $323.59 | $380.19 | $457.09 |
Oscar Health Setting Facility Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $8,317.64 | Facility | None | $3,715.35 | $5,370.32 | $8,317.64 |
Oscar Health Setting Professional Modifier None Typical Low $5.37 Median $24.55 Typical High $54.95 | Professional | None | $5.37 | $24.55 | $54.95 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $309.03 | Facility | None | $186.21 | $223.87 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Premera BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | None | $162.18 | $162.18 | $281.84 |
Priority Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $5,128.61 Typical High $5,128.61 | Facility | None | $363.08 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $181.97 Typical High $269.15 | Professional | None | $107.15 | $181.97 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $512.86 | Professional | None | $245.47 | $316.23 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $309.03 | Professional | None | $154.88 | $186.21 | $309.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $309.03 | Professional | None | $213.80 | $239.88 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $562.34 | Professional | None | $281.84 | $446.68 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $331.13 | Professional | None | $158.49 | $302.00 | $331.13 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $31.62 Typical High $97.72 | Facility | None | $19.05 | $31.62 | $97.72 |
Sentara Setting Professional Modifier None Typical Low $22.91 Median $60.26 Typical High $85.11 | Professional | None | $22.91 | $60.26 | $85.11 |
SummaCare Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $269.15 | Professional | None | $66.07 | $154.88 | $269.15 |
Sutter Health Plus Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
The Alliance Setting Professional Modifier None Typical Low $123.03 Median $263.03 Typical High $398.11 | Professional | None | $123.03 | $263.03 | $398.11 |
Tufts Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $165.96 | Professional | None | $79.43 | $97.72 | $165.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $457.09 | Professional | None | $257.04 | $346.74 | $457.09 |
United Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $89.13 | Professional | None | $39.81 | $57.54 | $89.13 |
Univera Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $131.83 | Facility | None | $61.66 | $61.66 | $131.83 |
Univera Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $213.80 | Professional | None | $50.12 | $60.26 | $213.80 |
University Health Alliance Setting Professional Modifier None Typical Low $10.00 Median $48.98 Typical High $66.07 | Professional | None | $10.00 | $48.98 | $66.07 |
Well Sense Setting Facility Modifier None Typical Low $87.10 Median $112.20 Typical High $186.21 | Facility | None | $87.10 | $112.20 | $186.21 |
Well Sense Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | None | $79.43 | $79.43 | $95.50 |
Wellmark Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $338.84 | Professional | None | $251.19 | $275.42 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $69.18 | Professional | None | $3.02 | $3.02 | $69.18 |
67 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 $165.96 Median $407.38 Typical High $1,122.02 | Professional | AA · Anesthesiologist | $165.96 | $407.38 | $1,122.02 |
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $138.04 Median $173.78 Typical High $223.87 | Professional | AD · Supervising 5+ | $138.04 | $173.78 | $223.87 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $70.79 Median $141.25 Typical High $398.11 | Professional | QK · Directing 2–4 cases | $70.79 | $141.25 | $398.11 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $63.10 Median $141.25 Typical High $562.34 | Professional | QX · CRNA, directed | $63.10 | $141.25 | $562.34 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $58.88 Median $120.23 Typical High $588.84 | Professional | QY · Directing one CRNA | $58.88 | $120.23 | $588.84 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $213.80 Typical High $776.25 | Professional | QZ · CRNA, independent | $141.25 | $213.80 | $776.25 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $309.03 Median $416.87 Typical High $676.08 | Professional | QZ · CRNA, independent | $309.03 | $416.87 | $676.08 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $257.04 | $257.04 | $257.04 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $147.91 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $109.65 | $147.91 | $154.88 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued + 78 · Unplanned return to OR Typical Low $229.09 Median $229.09 Typical High $426.58 | Professional | 53 · Discontinued + 78 · Unplanned return to OR | $229.09 | $229.09 | $426.58 |
BCBS Michigan Setting Professional Modifier GC · Resident with teaching physician Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | GC · Resident with teaching physician | $446.68 | $446.68 | $446.68 |
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | QX · CRNA, directed | $151.36 | $151.36 | $151.36 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | QZ · CRNA, independent | $281.84 | $281.84 | $281.84 |
BCBS Minnesota Setting Professional Modifier QX · CRNA, directed Typical Low $51.29 Median $72.44 Typical High $79.43 | Professional | QX · CRNA, directed | $51.29 | $72.44 | $79.43 |
BCBS South Carolina Setting Professional Modifier AA · Anesthesiologist Typical Low $104.71 Median $112.20 Typical High $199.53 | Professional | AA · Anesthesiologist | $104.71 | $112.20 | $199.53 |
BCBS South Carolina Setting Professional Modifier QX · CRNA, directed Typical Low $30.20 Median $52.48 Typical High $95.50 | Professional | QX · CRNA, directed | $30.20 | $52.48 | $95.50 |
BCBS South Carolina Setting Professional Modifier QZ · CRNA, independent Typical Low $83.18 Median $102.33 Typical High $125.89 | Professional | QZ · CRNA, independent | $83.18 | $102.33 | $125.89 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
BCBS Wyoming Setting Professional Modifier AD · Supervising 5+ Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | AD · Supervising 5+ | $239.88 | $239.88 | $239.88 |
CareFirst Setting Professional Modifier NA Typical Low $2.95 Median $3.16 Typical High $4.57 | Professional | NA | $2.95 | $3.16 | $4.57 |
Cigna Setting Professional Modifier AA · Anesthesiologist Typical Low $281.84 Median $354.81 Typical High $524.81 | Professional | AA · Anesthesiologist | $281.84 | $354.81 | $524.81 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | AA · Anesthesiologist | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | AD · Supervising 5+ | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QK · Directing 2–4 cases | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QX · CRNA, directed | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QY · Directing one CRNA | $93.33 | $208.93 | $309.03 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $93.33 Median $208.93 Typical High $309.03 | Professional | QZ · CRNA, independent | $93.33 | $208.93 | $309.03 |
HMSA Setting Professional Modifier AA · Anesthesiologist Typical Low $4.17 Median $4.17 Typical High $4.90 | Professional | AA · Anesthesiologist | $4.17 | $4.17 | $4.90 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $100.00 Median $147.91 Typical High $363.08 | Professional | AA · Anesthesiologist | $100.00 | $147.91 | $363.08 |
Health Alliance Plan Setting Professional Modifier G8 · Monitored anesthesia, complex Typical Low $47.86 Median $53.70 Typical High $151.36 | Professional | G8 · Monitored anesthesia, complex | $47.86 | $53.70 | $151.36 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $44.67 Median $52.48 Typical High $199.53 | Professional | P2 · Mild systemic disease | $44.67 | $52.48 | $199.53 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $38.90 Median $79.43 Typical High $302.00 | Professional | P3 · Severe systemic disease | $38.90 | $79.43 | $302.00 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $16.98 Median $81.28 Typical High $426.58 | Professional | QK · Directing 2–4 cases | $16.98 | $81.28 | $426.58 |
Health Alliance Plan Setting Professional Modifier QS · Monitored anesthesia care Typical Low $70.79 Median $95.50 Typical High $309.03 | Professional | QS · Monitored anesthesia care | $70.79 | $95.50 | $309.03 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $46.77 Median $64.57 Typical High $109.65 | Professional | QX · CRNA, directed | $46.77 | $64.57 | $109.65 |
Health Partners Setting Professional Modifier AA · Anesthesiologist Typical Low $208.93 Median $323.59 Typical High $851.14 | Professional | AA · Anesthesiologist | $208.93 | $323.59 | $851.14 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $389.05 Median $707.95 Typical High $1,288.25 | Professional | AA · Anesthesiologist | $389.05 | $707.95 | $1,288.25 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $407.38 Median $616.60 Typical High $1,047.13 | Professional | QK · Directing 2–4 cases | $407.38 | $616.60 | $1,047.13 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $380.19 Median $588.84 Typical High $1,000.00 | Professional | QX · CRNA, directed | $380.19 | $588.84 | $1,000.00 |
Highmark BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $363.08 Median $562.34 Typical High $1,096.48 | Professional | QY · Directing one CRNA | $363.08 | $562.34 | $1,096.48 |
Highmark BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $288.40 Median $489.78 Typical High $831.76 | Professional | QZ · CRNA, independent | $288.40 | $489.78 | $831.76 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $123.03 Median $323.59 Typical High $524.81 | Professional | P3 · Severe systemic disease | $123.03 | $323.59 | $524.81 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $134.90 Median $389.05 Typical High $537.03 | Professional | P4 · Life-threatening disease | $134.90 | $389.05 | $537.03 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $138.04 Median $457.09 Typical High $630.96 | Professional | P5 · Not expected to survive without surgery | $138.04 | $457.09 | $630.96 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $79.43 Median $151.36 Typical High $251.19 | Professional | AA · Anesthesiologist | $79.43 | $151.36 | $251.19 |
Moda Health Setting Professional Modifier P1 · Healthy patient Typical Low $83.18 Median $147.91 Typical High $295.12 | Professional | P1 · Healthy patient | $83.18 | $147.91 | $295.12 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $77.62 Median $125.89 Typical High $257.04 | Professional | P2 · Mild systemic disease | $77.62 | $125.89 | $257.04 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $60.26 Median $107.15 Typical High $194.98 | Professional | P3 · Severe systemic disease | $60.26 | $107.15 | $194.98 |
Moda Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $40.74 Median $64.57 Typical High $95.50 | Professional | QK · Directing 2–4 cases | $40.74 | $64.57 | $95.50 |
Moda Health Setting Professional Modifier QX · CRNA, directed Typical Low $52.48 Median $70.79 Typical High $109.65 | Professional | QX · CRNA, directed | $52.48 | $70.79 | $109.65 |
Moda Health Setting Professional Modifier QZ · CRNA, independent Typical Low $66.07 Median $117.49 Typical High $426.58 | Professional | QZ · CRNA, independent | $66.07 | $117.49 | $426.58 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier P3 · Severe systemic disease Typical Low $144.54 Median $229.09 Typical High $295.12 | Professional | P3 · Severe systemic disease | $144.54 | $229.09 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier P4 · Life-threatening disease Typical Low $181.97 Median $281.84 Typical High $371.54 | Professional | P4 · Life-threatening disease | $181.97 | $281.84 | $371.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $218.78 Median $338.84 Typical High $446.68 | Professional | P5 · Not expected to survive without surgery | $218.78 | $338.84 | $446.68 |
Qualchoice Setting Professional Modifier AA · Anesthesiologist Typical Low $467.74 Median $467.74 Typical High $707.95 | Professional | AA · Anesthesiologist | $467.74 | $467.74 | $707.95 |
Qualchoice Setting Professional Modifier QK · Directing 2–4 cases Typical Low $177.83 Median $354.81 Typical High $354.81 | Professional | QK · Directing 2–4 cases | $177.83 | $354.81 | $354.81 |
Qualchoice Setting Professional Modifier QX · CRNA, directed Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | QX · CRNA, directed | $29.51 | $29.51 | $29.51 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $407.38 Median $467.74 Typical High $588.84 | Professional | QZ · CRNA, independent | $407.38 | $467.74 | $588.84 |
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $208.93 Median $338.84 Typical High $416.87 | Professional | AD · Supervising 5+ | $208.93 | $338.84 | $416.87 |
Security Health Setting Professional Modifier P1 · Healthy patient Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | P1 · Healthy patient | $281.84 | $281.84 | $588.84 |
Security Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | P2 · Mild systemic disease | $281.84 | $281.84 | $588.84 |
Security Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $346.74 Median $346.74 Typical High $741.31 | Professional | P3 · Severe systemic disease | $346.74 | $346.74 | $741.31 |
Security Health Setting Professional Modifier P4 · Life-threatening disease Typical Low $416.87 Median $416.87 Typical High $891.25 | Professional | P4 · Life-threatening disease | $416.87 | $416.87 | $891.25 |
Security Health Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $489.78 Median $489.78 Typical High $1,023.29 | Professional | P5 · Not expected to survive without surgery | $489.78 | $489.78 | $1,023.29 |
Security Health Setting Professional Modifier P6 · Organ donor Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | P6 · Organ donor | $281.84 | $281.84 | $588.84 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | QX · CRNA, directed | $154.88 | $169.82 | $169.82 |