How much rates vary
Facilitymedian $741 · 10th to 90th $708 to $1,000Professionalmedian $65 · 10th to 90th $47 to $1,698
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $63.10 Median $724.44 Typical High $1,000.00 | Facility | None | $63.10 | $724.44 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $954.99 | Professional | None | $44.67 | $52.48 | $954.99 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $389.05 Median $562.34 Typical High $562.34 | Professional | QX · CRNA, directed | $389.05 | $562.34 | $562.34 |
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | QX · CRNA, directed | $524.81 | $524.81 | $524.81 |
CareSource Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,621.81 | $1,698.24 | $1,698.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $1,000.00 | Facility | None | $707.95 | $741.31 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $954.99 | Professional | None | $47.86 | $52.48 | $954.99 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $56.23 Median $77.62 Typical High $204.17 | Professional | QX · CRNA, directed | $56.23 | $77.62 | $204.17 |
Priority Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
7 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 QK · Directing 2–4 cases Typical Low $389.05 Median $602.56 Typical High $602.56 | Professional | QK · Directing 2–4 cases | $389.05 | $602.56 | $602.56 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | QZ · CRNA, independent | $446.68 | $446.68 | $446.68 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | QZ · CRNA, independent | $1,000.00 | $1,000.00 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $123.03 Median $162.18 Typical High $194.98 | Professional | AA · Anesthesiologist | $123.03 | $162.18 | $194.98 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $52.48 Median $63.10 Typical High $218.78 | Professional | P2 · Mild systemic disease | $52.48 | $63.10 | $218.78 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $37.15 Median $66.07 Typical High $1,258.93 | Professional | P3 · Severe systemic disease | $37.15 | $66.07 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $60.26 Median $100.00 Typical High $1,905.46 | Professional | QK · Directing 2–4 cases | $60.26 | $100.00 | $1,905.46 |