How much rates vary
Facilitymedian $363 · 10th to 90th $42 to $537Professionalmedian $69 · 10th to 90th $40 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 $41.69 Median $398.11 Typical High $537.03 | Facility | None | $41.69 | $398.11 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $602.56 | Professional | None | $41.69 | $44.67 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $645.65 | Professional | None | $331.13 | $398.11 | $645.65 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $588.84 | Professional | None | $323.59 | $426.58 | $588.84 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $1,819.70 | Professional | None | $39.81 | $66.07 | $1,819.70 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $131.83 Median $218.78 Typical High $363.08 | Professional | QK · Directing 2–4 cases | $131.83 | $218.78 | $363.08 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $144.54 Median $213.80 Typical High $363.08 | Professional | QX · CRNA, directed | $144.54 | $213.80 | $363.08 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $144.54 Median $144.54 Typical High $281.84 | Professional | QY · Directing one CRNA | $144.54 | $144.54 | $281.84 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $281.84 Median $331.13 Typical High $645.65 | Professional | QZ · CRNA, independent | $281.84 | $331.13 | $645.65 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $645.65 Median $758.58 Typical High $812.83 | Professional | QZ · CRNA, independent | $645.65 | $758.58 | $812.83 |