How much rates vary
Facilitymedian $45 · 10th to 90th $25 to $1,549Professionalmedian $62 · 10th to 90th $40 to $871
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 $24.55 Median $39.81 Typical High $1,548.82 | Facility | None | $24.55 | $39.81 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $891.25 | Professional | None | $38.90 | $44.67 | $891.25 |
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 $398.11 Median $602.56 Typical High $1,258.93 | Professional | None | $398.11 | $602.56 | $1,258.93 |
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 $39.81 Median $186.21 Typical High $1,621.81 | Professional | None | $39.81 | $186.21 | $1,621.81 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
5 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 $2,041.74 Median $2,511.89 Typical High $2,570.40 | Professional | AA · Anesthesiologist | $2,041.74 | $2,511.89 | $2,570.40 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $331.13 Median $1,122.02 Typical High $1,258.93 | Professional | QK · Directing 2–4 cases | $331.13 | $1,122.02 | $1,258.93 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $190.55 Median $1,318.26 Typical High $3,019.95 | Professional | QX · CRNA, directed | $190.55 | $1,318.26 | $3,019.95 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $177.83 Median $1,380.38 Typical High $1,778.28 | Professional | QY · Directing one CRNA | $177.83 | $1,380.38 | $1,778.28 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $380.19 Median $2,630.27 Typical High $3,019.95 | Professional | QZ · CRNA, independent | $380.19 | $2,630.27 | $3,019.95 |