How much rates vary
Facilitymedian $209 · 10th to 90th $200 to $288Professionalmedian $63 · 10th to 90th $47 to $1,072
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 $208.93 Typical High $288.40 | Facility | None | $63.10 | $208.93 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $281.84 | Professional | None | $43.65 | $52.48 | $281.84 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $112.20 Median $158.49 Typical High $158.49 | Professional | QX · CRNA, directed | $112.20 | $158.49 | $158.49 |
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 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,071.52 | Professional | None | $870.96 | $1,071.52 | $1,071.52 |
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 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 |
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 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
11 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 $190.55 Median $190.55 Typical High $245.47 | Professional | AA · Anesthesiologist | $190.55 | $190.55 | $245.47 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $102.33 Median $158.49 Typical High $229.09 | Professional | QK · Directing 2–4 cases | $102.33 | $158.49 | $229.09 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | QZ · CRNA, independent | $162.18 | $162.18 | $181.97 |
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 QZ · CRNA, independent Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | QZ · CRNA, independent | $281.84 | $281.84 | $281.84 |
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 |