How much rates vary
Facilitymedian $417 · 10th to 90th $398 to $575Professionalmedian $63 · 10th to 90th $47 to $1,318
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 $416.87 Typical High $575.44 | Facility | None | $63.10 | $416.87 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $537.03 | Professional | None | $43.65 | $52.48 | $537.03 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $131.83 Median $158.49 Typical High $416.87 | Professional | QX · CRNA, directed | $131.83 | $158.49 | $416.87 |
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | QX · CRNA, directed | $302.00 | $302.00 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,318.26 | $1,318.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $398.11 Median $416.87 Typical High $575.44 | Facility | None | $398.11 | $416.87 | $575.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $537.03 | Professional | None | $44.67 | $52.48 | $537.03 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $53.70 Median $74.13 Typical High $128.82 | Professional | QX · CRNA, directed | $53.70 | $74.13 | $128.82 |
Priority Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
11 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 $602.56 Median $602.56 Typical High $1,202.26 | Professional | AA · Anesthesiologist | $602.56 | $602.56 | $1,202.26 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $147.91 Median $245.47 Typical High $416.87 | Professional | QK · Directing 2–4 cases | $147.91 | $245.47 | $416.87 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | QY · Directing one CRNA | $158.49 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $263.03 Median $309.03 Typical High $512.86 | Professional | QZ · CRNA, independent | $263.03 | $309.03 | $512.86 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | QZ · CRNA, independent | $562.34 | $562.34 | $562.34 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $120.23 Median $186.21 Typical High $263.03 | Professional | AA · Anesthesiologist | $120.23 | $186.21 | $263.03 |
Health Alliance Plan Setting Professional Modifier P1 · Healthy patient Typical Low $56.23 Median $75.86 Typical High $173.78 | Professional | P1 · Healthy patient | $56.23 | $75.86 | $173.78 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $56.23 Median $77.62 Typical High $169.82 | Professional | P2 · Mild systemic disease | $56.23 | $77.62 | $169.82 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $57.54 Median $74.13 Typical High $229.09 | Professional | P3 · Severe systemic disease | $57.54 | $74.13 | $229.09 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $54.95 Median $79.43 Typical High $151.36 | Professional | QK · Directing 2–4 cases | $54.95 | $79.43 | $151.36 |
Health Alliance Plan Setting Professional Modifier QZ · CRNA, independent Typical Low $77.62 Median $151.36 Typical High $295.12 | Professional | QZ · CRNA, independent | $77.62 | $151.36 | $295.12 |