How much rates vary
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 $630.96 Typical High $870.96 | Facility | None | $63.10 | $630.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $831.76 | Professional | None | $52.48 | $52.48 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $8.91 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,479.11 | $1,548.82 | $1,548.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $870.96 | Facility | None | $602.56 | $630.96 | $870.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $831.76 | Professional | None | $52.48 | $52.48 | $831.76 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.00 | $10.47 | $10.47 |
Priority Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
2 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | QX · CRNA, directed | $446.68 | $446.68 | $446.68 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | QZ · CRNA, independent | $851.14 | $851.14 | $851.14 |