How much rates vary
Facilitymedian $263 · 10th to 90th $251 to $363Professionalmedian $63 · 10th to 90th $47 to $1,148
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 $257.04 Typical High $363.08 | Facility | None | $63.10 | $257.04 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $338.84 | Professional | None | $44.67 | $52.48 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $363.08 | Facility | None | $251.19 | $263.03 | $363.08 |
Health Alliance Plan Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $338.84 | Professional | None | $44.67 | $52.48 | $338.84 |
Priority Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
12 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 $245.47 Median $245.47 Typical High $245.47 | Professional | AA · Anesthesiologist | $245.47 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | QK · Directing 2–4 cases | $169.82 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | QX · CRNA, directed | $169.82 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | QZ · CRNA, independent | $181.97 | $181.97 | $181.97 |
BCBS Michigan Setting Professional Modifier AA · Anesthesiologist + GC · Resident with teaching physician Typical Low $151.36 Median $204.17 Typical High $457.09 | Professional | AA · Anesthesiologist + GC · Resident with teaching physician | $151.36 | $204.17 | $457.09 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $102.33 Median $177.83 Typical High $776.25 | Professional | AA · Anesthesiologist | $102.33 | $177.83 | $776.25 |
Health Alliance Plan Setting Professional Modifier P1 · Healthy patient Typical Low $112.20 Median $158.49 Typical High $263.03 | Professional | P1 · Healthy patient | $112.20 | $158.49 | $263.03 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $38.90 Median $69.18 Typical High $281.84 | Professional | P2 · Mild systemic disease | $38.90 | $69.18 | $281.84 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $53.70 Median $64.57 Typical High $269.15 | Professional | P3 · Severe systemic disease | $53.70 | $64.57 | $269.15 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $35.48 Median $69.18 Typical High $602.56 | Professional | QK · Directing 2–4 cases | $35.48 | $69.18 | $602.56 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $44.67 Median $58.88 Typical High $229.09 | Professional | QX · CRNA, directed | $44.67 | $58.88 | $229.09 |
Health Alliance Plan Setting Professional Modifier QZ · CRNA, independent Typical Low $85.11 Median $114.82 Typical High $229.09 | Professional | QZ · CRNA, independent | $85.11 | $114.82 | $229.09 |