How much rates vary
Facilitymedian $347 · 10th to 90th $40 to $372Professionalmedian $200 · 10th to 90th $40 to $2,399
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 $346.74 Typical High $371.54 | Facility | None | $39.81 | $346.74 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $371.54 | Professional | None | $39.81 | $47.86 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $354.81 | Professional | None | $186.21 | $218.78 | $354.81 |
Lucent Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,202.26 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $77.62 |
3 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 $97.72 Median $158.49 Typical High $158.49 | Professional | QK · Directing 2–4 cases | $97.72 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $97.72 Median $158.49 Typical High $158.49 | Professional | QX · CRNA, directed | $97.72 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | QZ · CRNA, independent | $275.42 | $275.42 | $275.42 |