How much rates vary
Facilitymedian $240 · 10th to 90th $40 to $240Professionalmedian $174 · 10th to 90th $48 to $891
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 $239.88 Typical High $239.88 | Facility | None | $39.81 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $218.78 | Professional | None | $39.81 | $39.81 | $218.78 |
BCBS Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $239.88 | Professional | None | $158.49 | $208.93 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $181.97 | Professional | None | $114.82 | $151.36 | $181.97 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $891.25 | Professional | None | $47.86 | $64.57 | $891.25 |
United Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $61.66 | Professional | None | $46.77 | $51.29 | $61.66 |
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 AA · Anesthesiologist Typical Low $100.00 Median $120.23 Typical High $120.23 | Professional | AA · Anesthesiologist | $100.00 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | QK · Directing 2–4 cases | $60.26 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | QX · CRNA, directed | $60.26 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $120.23 Median $144.54 Typical High $177.83 | Professional | QZ · CRNA, independent | $120.23 | $144.54 | $177.83 |