How much rates vary
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 $30.20 Median $38.02 Typical High $1,174.90 | Facility | None | $30.20 | $38.02 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $676.08 | Professional | None | $30.20 | $30.20 | $676.08 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $398.11 Median $549.54 Typical High $602.56 | Professional | AA · Anesthesiologist | $398.11 | $549.54 | $602.56 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $467.74 Typical High $549.54 | Professional | QX · CRNA, directed | $213.80 | $467.74 | $549.54 |
BCBS South Carolina Setting Professional Modifier AA · Anesthesiologist Typical Low $245.47 Median $257.04 Typical High $457.09 | Professional | AA · Anesthesiologist | $245.47 | $257.04 | $457.09 |
BCBS South Carolina Setting Professional Modifier QX · CRNA, directed Typical Low $70.79 Median $123.03 Typical High $223.87 | Professional | QX · CRNA, directed | $70.79 | $123.03 | $223.87 |
BCBS South Carolina Setting Professional Modifier QZ · CRNA, independent Typical Low $194.98 Median $239.88 Typical High $295.12 | Professional | QZ · CRNA, independent | $194.98 | $239.88 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $707.95 | Professional | None | $316.23 | $346.74 | $707.95 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $354.81 Typical High $707.95 | Professional | None | $134.90 | $354.81 | $707.95 |
United Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $81.28 | Professional | None | $41.69 | $61.66 | $81.28 |
1 more rate 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 $323.59 Median $436.52 Typical High $537.03 | Professional | QK · Directing 2–4 cases | $323.59 | $436.52 | $537.03 |