How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $269Professionalmedian $52 · 10th to 90th $40 to $191
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 $57.54 Typical High $269.15 | Facility | None | $39.81 | $57.54 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $234.42 | Professional | None | $39.81 | $57.54 | $234.42 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $69.18 Median $79.43 Typical High $109.65 | Professional | QX · CRNA, directed | $69.18 | $79.43 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | None | $151.36 | $151.36 | $199.53 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
3 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 AD · Supervising 5+ Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | AD · Supervising 5+ | $138.04 | $138.04 | $177.83 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $95.50 Median $109.65 Typical High $134.90 | Professional | QK · Directing 2–4 cases | $95.50 | $109.65 | $134.90 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | QZ · CRNA, independent | $147.91 | $147.91 | $147.91 |