How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $550Professionalmedian $52 · 10th to 90th $40 to $417
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 $57.54 Typical High $549.54 | Facility | None | $39.81 | $57.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $467.74 | Professional | None | $39.81 | $57.54 | $467.74 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $147.91 Median $186.21 Typical High $354.81 | Professional | QK · Directing 2–4 cases | $147.91 | $186.21 | $354.81 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $128.82 Median $147.91 Typical High $245.47 | Professional | QX · CRNA, directed | $128.82 | $147.91 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $467.74 | Professional | None | $346.74 | $346.74 | $467.74 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
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 AD · Supervising 5+ Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | AD · Supervising 5+ | $199.53 | $199.53 | $223.87 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $147.91 Median $223.87 Typical High $257.04 | Professional | QY · Directing one CRNA | $147.91 | $223.87 | $257.04 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $257.04 Median $363.08 Typical High $371.54 | Professional | QZ · CRNA, independent | $257.04 | $363.08 | $371.54 |