How much rates vary
Facilitymedian $316 · 10th to 90th $302 to $437Professionalmedian $65 · 10th to 90th $47 to $1,202
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 $309.03 Typical High $436.52 | Facility | None | $63.10 | $309.03 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $407.38 | Professional | None | $41.69 | $52.48 | $407.38 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | QX · CRNA, directed | $107.15 | $107.15 | $147.91 |
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | QX · CRNA, directed | $223.87 | $223.87 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,202.26 | Professional | None | $954.99 | $1,202.26 | $1,202.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $436.52 | Facility | None | $302.00 | $316.23 | $436.52 |
Health Alliance Plan Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $407.38 | Professional | None | $41.69 | $52.48 | $407.38 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $66.07 Median $77.62 Typical High $109.65 | Professional | QX · CRNA, directed | $66.07 | $77.62 | $109.65 |
Priority Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
9 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 $107.15 Median $107.15 Typical High $181.97 | Professional | QK · Directing 2–4 cases | $107.15 | $107.15 | $181.97 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | QZ · CRNA, independent | $245.47 | $245.47 | $245.47 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | QZ · CRNA, independent | $426.58 | $426.58 | $426.58 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $120.23 Median $190.55 Typical High $302.00 | Professional | AA · Anesthesiologist | $120.23 | $190.55 | $302.00 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $63.10 Median $93.33 Typical High $512.86 | Professional | P2 · Mild systemic disease | $63.10 | $93.33 | $512.86 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $69.18 Median $93.33 Typical High $501.19 | Professional | P3 · Severe systemic disease | $69.18 | $93.33 | $501.19 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $48.98 Median $70.79 Typical High $134.90 | Professional | QK · Directing 2–4 cases | $48.98 | $70.79 | $134.90 |
Health Alliance Plan Setting Professional Modifier QS · Monitored anesthesia care Typical Low $85.11 Median $97.72 Typical High $245.47 | Professional | QS · Monitored anesthesia care | $85.11 | $97.72 | $245.47 |
Health Alliance Plan Setting Professional Modifier QZ · CRNA, independent Typical Low $72.44 Median $173.78 Typical High $354.81 | Professional | QZ · CRNA, independent | $72.44 | $173.78 | $354.81 |