How much rates vary
Facilitymedian $42 · 10th to 90th $42 to $562Professionalmedian $52 · 10th to 90th $40 to $490
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 $41.69 Typical High $562.34 | Facility | None | $41.69 | $41.69 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $562.34 | Professional | None | $41.69 | $41.69 | $562.34 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | QK · Directing 2–4 cases | $512.86 | $512.86 | $512.86 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $660.69 Median $812.83 Typical High $1,230.27 | Professional | QZ · CRNA, independent | $660.69 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $501.19 | Professional | None | $380.19 | $416.87 | $501.19 |
Qualchoice Setting Professional Modifier QK · Directing 2–4 cases Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | QK · Directing 2–4 cases | $588.84 | $588.84 | $588.84 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $870.96 Median $933.25 Typical High $1,412.54 | Professional | QZ · CRNA, independent | $870.96 | $933.25 | $1,412.54 |
United Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $58.88 | Professional | None | $38.02 | $47.86 | $58.88 |
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 AA · Anesthesiologist Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | AA · Anesthesiologist | $812.83 | $812.83 | $812.83 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | QY · Directing one CRNA | $912.01 | $912.01 | $912.01 |