How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $229 · 10th to 90th $62 to $316
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 Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $302.00 | Professional | None | $47.86 | $61.66 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $9.55 | $12.30 | $12.30 |
BCBS Alabama Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
BCBS Alabama Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $316.23 | Professional | None | $229.09 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $316.23 | Professional | None | $208.93 | $229.09 | $316.23 |
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 QK · Directing 2–4 cases Typical Low $58.88 Median $58.88 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $58.88 | $58.88 | $457.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | QX · CRNA, directed | $58.88 | $58.88 | $72.44 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | QZ · CRNA, independent | $97.72 | $97.72 | $117.49 |