How much rates vary
Facilitymedian $45 · 10th to 90th $25 to $708Professionalmedian $83 · 10th to 90th $38 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 $24.55 Median $39.81 Typical High $707.95 | Facility | None | $24.55 | $39.81 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $398.11 | Professional | None | $34.67 | $44.67 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.71 Typical High $9.55 | Professional | 53 · Discontinued | $6.76 | $8.71 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $91.20 Median $125.89 Typical High $933.25 | Professional | QZ · CRNA, independent | $91.20 | $125.89 | $933.25 |
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 $158.49 Median $239.88 Typical High $512.86 | Professional | None | $158.49 | $239.88 | $512.86 |
Florida Blue Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $44.67 | Professional | None | $19.05 | $38.02 | $44.67 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $489.78 | Professional | None | $39.81 | $56.23 | $489.78 |
United Setting Professional Modifier None Typical Low $52.48 Median $83.18 Typical High $100.00 | Professional | None | $52.48 | $83.18 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
4 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 AA · Anesthesiologist Typical Low $104.71 Median $125.89 Typical High $933.25 | Professional | AA · Anesthesiologist | $104.71 | $125.89 | $933.25 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $52.48 Median $85.11 Typical High $524.81 | Professional | QK · Directing 2–4 cases | $52.48 | $85.11 | $524.81 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $52.48 Median $562.34 Typical High $891.25 | Professional | QX · CRNA, directed | $52.48 | $562.34 | $891.25 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $323.59 Median $389.05 Typical High $524.81 | Professional | QY · Directing one CRNA | $323.59 | $389.05 | $524.81 |