How much rates vary
Facilitymedian $224 · 10th to 90th $42 to $331Professionalmedian $295 · 10th to 90th $46 to $891
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 $41.69 Median $251.19 Typical High $331.13 | Facility | None | $41.69 | $251.19 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $371.54 | Professional | None | $41.69 | $44.67 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $295.12 | Professional | None | $218.78 | $288.40 | $295.12 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $338.84 | Professional | None | $181.97 | $245.47 | $338.84 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $891.25 Typical High $891.25 | Professional | None | $102.33 | $891.25 | $891.25 |
5 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 $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $95.50 Median $109.65 Typical High $162.18 | Professional | AA · Anesthesiologist | $95.50 | $109.65 | $162.18 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $56.23 Median $77.62 Typical High $83.18 | Professional | QX · CRNA, directed | $56.23 | $77.62 | $83.18 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $100.00 Median $117.49 Typical High $158.49 | Professional | QZ · CRNA, independent | $100.00 | $117.49 | $158.49 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $295.12 Median $346.74 Typical High $354.81 | Professional | QZ · CRNA, independent | $295.12 | $346.74 | $354.81 |