How much rates vary
Facilitymedian $209 · 10th to 90th $200 to $288Professionalmedian $65 · 10th to 90th $47 to $1,072
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 $208.93 Typical High $288.40 | Facility | None | $63.10 | $208.93 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $281.84 | Professional | None | $44.67 | $52.48 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,071.52 | Professional | None | $870.96 | $1,071.52 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $288.40 | Facility | None | $199.53 | $208.93 | $288.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $269.15 | Professional | None | $44.67 | $52.48 | $269.15 |
Priority Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
11 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 $147.91 Median $147.91 Typical High $147.91 | Professional | AA · Anesthesiologist | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | QK · Directing 2–4 cases | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $61.66 Median $79.43 Typical High $85.11 | Professional | QX · CRNA, directed | $61.66 | $79.43 | $85.11 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | QY · Directing one CRNA | $61.66 | $61.66 | $61.66 |
BCBS Michigan Setting Professional Modifier AA · Anesthesiologist + GC · Resident with teaching physician Typical Low $114.82 Median $151.36 Typical High $338.84 | Professional | AA · Anesthesiologist + GC · Resident with teaching physician | $114.82 | $151.36 | $338.84 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $38.90 Median $144.54 Typical High $223.87 | Professional | AA · Anesthesiologist | $38.90 | $144.54 | $223.87 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $30.20 Median $64.57 Typical High $199.53 | Professional | P2 · Mild systemic disease | $30.20 | $64.57 | $199.53 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $19.05 Median $75.86 Typical High $141.25 | Professional | P3 · Severe systemic disease | $19.05 | $75.86 | $141.25 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $53.70 Median $75.86 Typical High $125.89 | Professional | QK · Directing 2–4 cases | $53.70 | $75.86 | $125.89 |
Health Alliance Plan Setting Professional Modifier QS · Monitored anesthesia care Typical Low $53.70 Median $81.28 Typical High $125.89 | Professional | QS · Monitored anesthesia care | $53.70 | $81.28 | $125.89 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $58.88 Median $75.86 Typical High $102.33 | Professional | QX · CRNA, directed | $58.88 | $75.86 | $102.33 |