How much rates vary
Facilitymedian $407 · 10th to 90th $30 to $525Professionalmedian $263 · 10th to 90th $35 to $661
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 $30.20 Median $407.38 Typical High $524.81 | Facility | None | $30.20 | $407.38 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $707.95 | Professional | None | $30.20 | $47.86 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $660.69 | Professional | None | $190.55 | $263.03 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $724.44 | Professional | None | $302.00 | $446.68 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $602.56 Typical High $912.01 | Professional | None | $263.03 | $602.56 | $912.01 |
Oscar Health Setting Professional Modifier None Typical Low $10.72 Median $30.90 Typical High $79.43 | Professional | None | $10.72 | $30.90 | $79.43 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $9.55 | Professional | 53 · Discontinued | $6.03 | $6.03 | $9.55 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $102.33 Median $524.81 Typical High $741.31 | Professional | QK · Directing 2–4 cases | $102.33 | $524.81 | $741.31 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $97.72 Median $295.12 Typical High $851.14 | Professional | QX · CRNA, directed | $97.72 | $295.12 | $851.14 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $295.12 Median $562.34 Typical High $562.34 | Professional | QY · Directing one CRNA | $295.12 | $562.34 | $562.34 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | QZ · CRNA, independent | $269.15 | $269.15 | $269.15 |