How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $339Professionalmedian $52 · 10th to 90th $40 to $257
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 $338.84 | Facility | None | $39.81 | $57.54 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $295.12 | Professional | None | $39.81 | $57.54 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
4 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 $147.91 Median $147.91 Typical High $147.91 | Professional | AD · Supervising 5+ | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | QK · Directing 2–4 cases | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $48.98 Median $87.10 Typical High $87.10 | Professional | QX · CRNA, directed | $48.98 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | QY · Directing one CRNA | $48.98 | $48.98 | $48.98 |