How much rates vary
Facilitymedian $372 · 10th to 90th $347 to $501Professionalmedian $66 · 10th to 90th $47 to $1,259
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 $363.08 Typical High $501.19 | Facility | None | $63.10 | $363.08 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $478.63 | Professional | None | $44.67 | $52.48 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,258.93 | $1,258.93 |
Health Alliance Plan Setting Facility Modifier None Typical Low $346.74 Median $371.54 Typical High $501.19 | Facility | None | $346.74 | $371.54 | $501.19 |
Health Alliance Plan Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $478.63 | Professional | None | $44.67 | $52.48 | $478.63 |
Priority Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
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 QK · Directing 2–4 cases Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | QK · Directing 2–4 cases | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | QX · CRNA, directed | $147.91 | $147.91 | $173.78 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $194.98 Median $263.03 Typical High $575.44 | Professional | QZ · CRNA, independent | $194.98 | $263.03 | $575.44 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $56.23 Median $56.23 Typical High $316.23 | Professional | P3 · Severe systemic disease | $56.23 | $56.23 | $316.23 |