How much rates vary
Facilitymedian $263 · 10th to 90th $52 to $363Professionalmedian $275 · 10th to 90th $52 to $1,148
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 $52.48 Median $257.04 Typical High $363.08 | Facility | None | $52.48 | $257.04 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $338.84 | Professional | None | $44.67 | $52.48 | $338.84 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $40.74 Median $74.13 Typical High $85.11 | Professional | QX · CRNA, directed | $40.74 | $74.13 | $85.11 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | QZ · CRNA, independent | $102.33 | $102.33 | $123.03 |
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | QX · CRNA, directed | $151.36 | $151.36 | $151.36 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | QZ · CRNA, independent | $281.84 | $281.84 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $52.48 Median $263.03 Typical High $363.08 | Facility | None | $52.48 | $263.03 | $363.08 |
Health Alliance Plan Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $346.74 | Professional | None | $44.67 | $52.48 | $346.74 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $54.95 Median $109.65 Typical High $239.88 | Professional | QX · CRNA, directed | $54.95 | $109.65 | $239.88 |
Health Alliance Plan Setting Professional Modifier QZ · CRNA, independent Typical Low $181.97 Median $302.00 Typical High $588.84 | Professional | QZ · CRNA, independent | $181.97 | $302.00 | $588.84 |
Priority Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
12 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 $8.91 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $8.91 | $10.47 | $10.47 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | AA · Anesthesiologist | $181.97 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $51.29 Median $64.57 Typical High $85.11 | Professional | QK · Directing 2–4 cases | $51.29 | $64.57 | $85.11 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | QY · Directing one CRNA | $61.66 | $72.44 | $72.44 |
BCBS Michigan Setting Professional Modifier QY · Directing one CRNA Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | QY · Directing one CRNA | $245.47 | $245.47 | $245.47 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.00 | $10.47 | $10.47 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $223.87 Median $302.00 Typical High $426.58 | Professional | AA · Anesthesiologist | $223.87 | $302.00 | $426.58 |
Health Alliance Plan Setting Professional Modifier P1 · Healthy patient Typical Low $91.20 Median $109.65 Typical High $331.13 | Professional | P1 · Healthy patient | $91.20 | $109.65 | $331.13 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $81.28 Median $100.00 Typical High $281.84 | Professional | P2 · Mild systemic disease | $81.28 | $100.00 | $281.84 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $74.13 Median $125.89 Typical High $354.81 | Professional | P3 · Severe systemic disease | $74.13 | $125.89 | $354.81 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $77.62 Median $144.54 Typical High $371.54 | Professional | QK · Directing 2–4 cases | $77.62 | $144.54 | $371.54 |
Health Alliance Plan Setting Professional Modifier QS · Monitored anesthesia care Typical Low $70.79 Median $131.83 Typical High $331.13 | Professional | QS · Monitored anesthesia care | $70.79 | $131.83 | $331.13 |