How much rates vary
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 $41.69 Typical High $562.34 | Facility | None | $41.69 | $41.69 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $562.34 | Professional | None | $41.69 | $41.69 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $501.19 | Professional | None | $380.19 | $416.87 | $501.19 |
United Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $58.88 | Professional | None | $38.02 | $47.86 | $58.88 |
2 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 QZ · CRNA, independent Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | QZ · CRNA, independent | $1,995.26 | $1,995.26 | $1,995.26 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $2,290.87 Median $2,290.87 Typical High $3,162.28 | Professional | QZ · CRNA, independent | $2,290.87 | $2,290.87 | $3,162.28 |