How much rates vary
Facilitymedian $48 · 10th to 90th $48 to $269Professionalmedian $200 · 10th to 90th $48 to $309
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 Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $275.42 | Facility | None | $47.86 | $47.86 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $346.74 | Professional | None | $40.74 | $47.86 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $229.09 | Professional | None | $158.49 | $199.53 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $95.50 Typical High $190.55 | Facility | None | $41.69 | $95.50 | $190.55 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $165.96 | Professional | None | $41.69 | $79.43 | $165.96 |
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 $181.97 Median $257.04 Typical High $660.69 | Professional | None | $181.97 | $257.04 | $660.69 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | None | $162.18 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
7 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 $8.71 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.71 | $9.55 | $9.55 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $100.00 Median $120.23 Typical High $120.23 | Professional | AA · Anesthesiologist | $100.00 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | AD · Supervising 5+ | $141.25 | $141.25 | $141.25 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QK · Directing 2–4 cases | $50.12 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QX · CRNA, directed | $50.12 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | QY · Directing one CRNA | $60.26 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $100.00 Median $120.23 Typical High $123.03 | Professional | QZ · CRNA, independent | $100.00 | $120.23 | $123.03 |