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 $41.69 Median $41.69 Typical High $245.47 | Facility | None | $41.69 | $41.69 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $245.47 | Professional | None | $41.69 | $41.69 | $245.47 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | QK · Directing 2–4 cases | $204.17 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $354.81 Median $426.58 Typical High $457.09 | Professional | QZ · CRNA, independent | $354.81 | $426.58 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $186.21 | Professional | None | $141.25 | $154.88 | $186.21 |
Qualchoice Setting Professional Modifier QK · Directing 2–4 cases Typical Low $177.83 Median $263.03 Typical High $263.03 | Professional | QK · Directing 2–4 cases | $177.83 | $263.03 | $263.03 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | QZ · CRNA, independent | $524.81 | $524.81 | $707.95 |
United Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $58.88 | Professional | None | $38.02 | $47.86 | $58.88 |
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 AA · Anesthesiologist Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | AA · Anesthesiologist | $660.69 | $660.69 | $660.69 |