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 $977.24 Typical High $1,445.44 | Facility | None | $41.69 | $977.24 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $1,445.44 | Professional | None | $41.69 | $46.77 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,548.82 | Professional | None | $794.33 | $954.99 | $1,548.82 |
BCBS 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 $831.76 Median $1,096.48 Typical High $1,513.56 | Professional | None | $831.76 | $1,096.48 | $1,513.56 |
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 $66.07 Typical High $3,388.44 | Professional | None | $39.81 | $66.07 | $3,388.44 |
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 $630.96 Median $741.31 Typical High $741.31 | Professional | QX · CRNA, directed | $630.96 | $741.31 | $741.31 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | QZ · CRNA, independent | $2,290.87 | $2,290.87 | $2,290.87 |