Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier AA · Anesthesiologist Typical Low $147.91 Median $173.78 Typical High $239.88 | Professional | AA · Anesthesiologist | $147.91 | $173.78 | $239.88 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $616.60 Median $1,380.38 Typical High $2,570.40 | Professional | AA · Anesthesiologist | $616.60 | $1,380.38 | $2,570.40 |
Wellcare Setting Facility Modifier QK · Directing 2–4 cases Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | QK · Directing 2–4 cases | $52.48 | $52.48 | $52.48 |
Wellcare Setting Facility Modifier QX · CRNA, directed Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | QX · CRNA, directed | $52.48 | $52.48 | $52.48 |
Wellcare Setting Facility Modifier QY · Directing one CRNA Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | QY · Directing one CRNA | $52.48 | $52.48 | $52.48 |