How much rates vary
Facilitymedian $347 · 10th to 90th $40 to $372Professionalmedian $331 · 10th to 90th $40 to $2,399
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 $346.74 Typical High $371.54 | Facility | None | $39.81 | $346.74 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $371.54 | Professional | None | $39.81 | $47.86 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $9.55 | Professional | 53 · Discontinued | $7.94 | $7.94 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $354.81 | Professional | None | $186.21 | $218.78 | $354.81 |
Lucent Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $2,398.83 | Professional | None | $891.25 | $891.25 | $2,398.83 |
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 $97.72 Median $97.72 Typical High $100.00 | Professional | AA · Anesthesiologist | $97.72 | $97.72 | $100.00 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $48.98 Median $58.88 Typical High $85.11 | Professional | QK · Directing 2–4 cases | $48.98 | $58.88 | $85.11 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $48.98 Median $58.88 Typical High $85.11 | Professional | QX · CRNA, directed | $48.98 | $58.88 | $85.11 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $97.72 Median $117.49 Typical High $245.47 | Professional | QZ · CRNA, independent | $97.72 | $117.49 | $245.47 |