How much rates vary
Facilitymedian $45 · 10th to 90th $40 to $708Professionalmedian $62 · 10th to 90th $39 to $389
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 $44.67 Typical High $707.95 | Facility | None | $39.81 | $44.67 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $398.11 | Professional | None | $38.90 | $44.67 | $398.11 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None | $21.38 | $22.91 | $25.12 |
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 $158.49 Median $239.88 Typical High $512.86 | Professional | None | $158.49 | $239.88 | $512.86 |
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 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $436.52 Typical High $645.65 | Professional | None | $51.29 | $436.52 | $645.65 |
United Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $85.11 | Professional | None | $44.67 | $57.54 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
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 $263.03 Median $1,122.02 Typical High $1,122.02 | Professional | QK · Directing 2–4 cases | $263.03 | $1,122.02 | $1,122.02 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $85.11 Median $645.65 Typical High $1,905.46 | Professional | QX · CRNA, directed | $85.11 | $645.65 | $1,905.46 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $85.11 Median $85.11 Typical High $660.69 | Professional | QY · Directing one CRNA | $85.11 | $85.11 | $660.69 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $1,548.82 Median $2,089.30 Typical High $3,090.30 | Professional | QZ · CRNA, independent | $1,548.82 | $2,089.30 | $3,090.30 |