How much rates vary
Facilitymedian $977 · 10th to 90th $40 to $1,047Professionalmedian $79 · 10th to 90th $40 to $3,311
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 $977.24 Typical High $1,047.13 | Facility | None | $39.81 | $977.24 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $1,047.13 | Professional | None | $39.81 | $47.86 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $1,148.15 | Professional | None | $616.60 | $707.95 | $1,148.15 |
Lucent Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $77.62 |
3 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 $213.80 Median $257.04 Typical High $389.05 | Professional | QK · Directing 2–4 cases | $213.80 | $257.04 | $389.05 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $257.04 Typical High $467.74 | Professional | QX · CRNA, directed | $213.80 | $257.04 | $467.74 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $407.38 Median $602.56 Typical High $741.31 | Professional | QZ · CRNA, independent | $407.38 | $602.56 | $741.31 |