How much rates vary
Facilitymedian $30 · 10th to 90th $21 to $62Professionalmedian $170 · 10th to 90th $30 to $427
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 $21.38 Median $30.20 Typical High $30.20 | Facility | None | $21.38 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $407.38 | Professional | None | $30.20 | $30.20 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $457.09 | Professional | None | $169.82 | $218.78 | $457.09 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $245.47 Median $323.59 Typical High $489.78 | Professional | QX · CRNA, directed | $245.47 | $323.59 | $489.78 |
Highmark BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $199.53 Median $316.23 Typical High $457.09 | Professional | QZ · CRNA, independent | $199.53 | $316.23 | $457.09 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $251.19 Median $363.08 Typical High $588.84 | Professional | QK · Directing 2–4 cases | $251.19 | $363.08 | $588.84 |