How much rates vary
Facilitymedian $42 · 10th to 90th $42 to $245Professionalmedian $51 · 10th to 90th $40 to $200
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 $41.69 Median $41.69 Typical High $245.47 | Facility | None | $41.69 | $41.69 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $245.47 | Professional | None | $41.69 | $41.69 | $245.47 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $407.38 Median $407.38 Typical High $616.60 | Professional | AA · Anesthesiologist | $407.38 | $407.38 | $616.60 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $354.81 Median $407.38 Typical High $562.34 | Professional | QZ · CRNA, independent | $354.81 | $407.38 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $186.21 | Professional | None | $141.25 | $154.88 | $186.21 |
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 QZ · CRNA, independent Typical Low $407.38 Median $467.74 Typical High $588.84 | Professional | QZ · CRNA, independent | $407.38 | $467.74 | $588.84 |
United Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $58.88 | Professional | None | $38.02 | $47.86 | $58.88 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | QK · Directing 2–4 cases | $309.03 | $309.03 | $309.03 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | QX · CRNA, directed | $25.70 | $25.70 | $25.70 |
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 |