How much rates vary
Facilitymedian $45 · 10th to 90th $25 to $977Professionalmedian $63 · 10th to 90th $38 to $550
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 $24.55 Median $39.81 Typical High $977.24 | Facility | None | $24.55 | $39.81 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $562.34 | Professional | None | $38.02 | $44.67 | $562.34 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None | $21.38 | $22.91 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $758.58 | Professional | None | $239.88 | $363.08 | $758.58 |
Florida Blue Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $44.67 | Professional | None | $19.05 | $38.02 | $44.67 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $660.69 Typical High $977.24 | Professional | None | $75.86 | $660.69 | $977.24 |
United Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $85.11 | Professional | None | $44.67 | $57.54 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
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 QK · Directing 2–4 cases Typical Low $776.25 Median $776.25 Typical High $1,000.00 | Professional | QK · Directing 2–4 cases | $776.25 | $776.25 | $1,000.00 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | QX · CRNA, directed | $1,230.27 | $1,230.27 | $1,230.27 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $1,698.24 Median $2,089.30 Typical High $2,238.72 | Professional | QZ · CRNA, independent | $1,698.24 | $2,089.30 | $2,238.72 |