How much rates vary
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 $63.10 Median $257.04 Typical High $363.08 | Facility | None | $63.10 | $257.04 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $338.84 | Professional | None | $43.65 | $52.48 | $338.84 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | QX · CRNA, directed | $117.49 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | QZ · CRNA, independent | $229.09 | $229.09 | $229.09 |
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | QX · CRNA, directed | $186.21 | $186.21 | $186.21 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | QZ · CRNA, independent | $354.81 | $354.81 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
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 $251.19 Median $263.03 Typical High $363.08 | Facility | None | $251.19 | $263.03 | $363.08 |
Health Alliance Plan Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $338.84 | Professional | None | $44.67 | $52.48 | $338.84 |
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 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | AA · Anesthesiologist | $213.80 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | QK · Directing 2–4 cases | $117.49 | $117.49 | $117.49 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $72.44 Median $151.36 Typical High $204.17 | Professional | AA · Anesthesiologist | $72.44 | $151.36 | $204.17 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $53.70 Median $66.07 Typical High $186.21 | Professional | P2 · Mild systemic disease | $53.70 | $66.07 | $186.21 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $51.29 Median $79.43 Typical High $97.72 | Professional | QK · Directing 2–4 cases | $51.29 | $79.43 | $97.72 |