How much rates vary
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 $41.69 Median $575.44 Typical High $851.14 | Facility | None | $41.69 | $575.44 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $831.76 | Professional | None | $41.69 | $46.77 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $891.25 | Professional | None | $457.09 | $549.54 | $891.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $831.76 | Professional | None | $457.09 | $616.60 | $831.76 |
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 $39.81 Median $69.18 Typical High $2,454.71 | Professional | None | $39.81 | $69.18 | $2,454.71 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $190.55 Median $257.04 Typical High $275.42 | Professional | QX · CRNA, directed | $190.55 | $257.04 | $275.42 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | QZ · CRNA, independent | $1,412.54 | $1,412.54 | $1,412.54 |