How much rates vary
Facilitymedian $417 · 10th to 90th $40 to $447Professionalmedian $251 · 10th to 90th $40 to $2,884
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 $416.87 Typical High $446.68 | Facility | None | $39.81 | $416.87 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $446.68 | Professional | None | $39.81 | $47.86 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $446.68 | Professional | None | $234.42 | $275.42 | $446.68 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,884.03 | Professional | None | $1,445.44 | $1,445.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $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 $257.04 Median $257.04 Typical High $302.00 | Professional | AA · Anesthesiologist | $257.04 | $257.04 | $302.00 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $89.13 Median $97.72 Typical High $158.49 | Professional | QK · Directing 2–4 cases | $89.13 | $97.72 | $158.49 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $69.18 Median $97.72 Typical High $169.82 | Professional | QX · CRNA, directed | $69.18 | $97.72 | $169.82 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | QY · Directing one CRNA | $117.49 | $117.49 | $169.82 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $138.04 Median $177.83 Typical High $194.98 | Professional | QZ · CRNA, independent | $138.04 | $177.83 | $194.98 |