How much rates vary
Facilitymedian $81 · 10th to 90th $35 to $105Professionalmedian $50 · 10th to 90th $35 to $1,820
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $524.81 | Professional | None | $34.67 | $34.67 | $524.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $467.74 | Professional | None | $281.84 | $323.59 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $630.96 | Professional | None | $354.81 | $489.78 | $630.96 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Facility | None | $81.28 | $81.28 | $104.71 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $64.57 Typical High $1,819.70 | Professional | None | $34.67 | $64.57 | $1,819.70 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | None | $33.11 | $42.66 | $74.13 |
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 $446.68 Median $977.24 Typical High $1,148.15 | Professional | AA · Anesthesiologist | $446.68 | $977.24 | $1,148.15 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $173.78 Median $724.44 Typical High $977.24 | Professional | QK · Directing 2–4 cases | $173.78 | $724.44 | $977.24 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $173.78 Median $562.34 Typical High $912.01 | Professional | QX · CRNA, directed | $173.78 | $562.34 | $912.01 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $194.98 Typical High $380.19 | Professional | QZ · CRNA, independent | $162.18 | $194.98 | $380.19 |