How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $741Professionalmedian $52 · 10th to 90th $40 to $603
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 $57.54 Typical High $741.31 | Facility | None | $39.81 | $57.54 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $645.65 | Professional | None | $39.81 | $57.54 | $645.65 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $223.87 Median $257.04 Typical High $257.04 | Professional | QK · Directing 2–4 cases | $223.87 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $177.83 Median $223.87 Typical High $263.03 | Professional | QX · CRNA, directed | $177.83 | $223.87 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $676.08 | Professional | None | $501.19 | $501.19 | $676.08 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
1 more rate 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 AD · Supervising 5+ Typical Low $199.53 Median $218.78 Typical High $346.74 | Professional | AD · Supervising 5+ | $199.53 | $218.78 | $346.74 |