How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $339Professionalmedian $58 · 10th to 90th $40 to $269
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 $39.81 Median $57.54 Typical High $338.84 | Facility | None | $39.81 | $57.54 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $295.12 | Professional | None | $39.81 | $57.54 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.55 Typical High $11.48 | Professional | 53 · Discontinued | $7.94 | $9.55 | $11.48 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $48.98 Median $58.88 Typical High $74.13 | Professional | QX · CRNA, directed | $48.98 | $58.88 | $74.13 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $97.72 Median $138.04 Typical High $199.53 | Professional | QZ · CRNA, independent | $97.72 | $138.04 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $50.12 | Professional | None | $21.38 | $25.12 | $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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AD · Supervising 5+ Typical Low $138.04 Median $138.04 Typical High $147.91 | Professional | AD · Supervising 5+ | $138.04 | $138.04 | $147.91 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | QK · Directing 2–4 cases | $58.88 | $58.88 | $70.79 |