How much rates vary
Facilitymedian $45 · 10th to 90th $40 to $1,950Professionalmedian $63 · 10th to 90th $38 to $1,122
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 $44.67 Typical High $1,949.84 | Facility | None | $39.81 | $44.67 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $1,122.02 | Professional | None | $38.02 | $44.67 | $1,122.02 |
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 $524.81 Median $776.25 Typical High $1,659.59 | Professional | None | $524.81 | $776.25 | $1,659.59 |
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 $165.96 Median $1,445.44 Typical High $2,089.30 | Professional | None | $165.96 | $1,445.44 | $2,089.30 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
4 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 $338.84 Median $3,981.07 Typical High $4,073.80 | Professional | AA · Anesthesiologist | $338.84 | $3,981.07 | $4,073.80 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $275.42 Median $1,737.80 Typical High $2,238.72 | Professional | QK · Directing 2–4 cases | $275.42 | $1,737.80 | $2,238.72 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $128.82 Median $1,548.82 Typical High $4,168.69 | Professional | QX · CRNA, directed | $128.82 | $1,548.82 | $4,168.69 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $549.54 Median $3,019.95 Typical High $3,548.13 | Professional | QZ · CRNA, independent | $549.54 | $3,019.95 | $3,548.13 |