How much rates vary
Facilitymedian $316 · 10th to 90th $302 to $437Professionalmedian $65 · 10th to 90th $47 to $1,202
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 $309.03 Typical High $436.52 | Facility | None | $63.10 | $309.03 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $407.38 | Professional | None | $44.67 | $52.48 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,202.26 | Professional | None | $954.99 | $1,202.26 | $1,202.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $436.52 | Facility | None | $302.00 | $316.23 | $436.52 |
Health Alliance Plan Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $407.38 | Professional | None | $47.86 | $52.48 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
8 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 $457.09 Median $457.09 Typical High $457.09 | Professional | AA · Anesthesiologist | $457.09 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $123.03 Median $169.82 Typical High $169.82 | Professional | QK · Directing 2–4 cases | $123.03 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $123.03 Median $158.49 Typical High $169.82 | Professional | QX · CRNA, directed | $123.03 | $158.49 | $169.82 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | QZ · CRNA, independent | $288.40 | $288.40 | $288.40 |
BCBS Setting Professional Modifier QK · Directing 2–4 cases + QY · Directing one CRNA Typical Low $104.71 Median $141.25 Typical High $309.03 | Professional | QK · Directing 2–4 cases + QY · Directing one CRNA | $104.71 | $141.25 | $309.03 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $39.81 Median $48.98 Typical High $173.78 | Professional | P2 · Mild systemic disease | $39.81 | $48.98 | $173.78 |
Health Alliance Plan Setting Professional Modifier QK · Directing 2–4 cases Typical Low $47.86 Median $54.95 Typical High $154.88 | Professional | QK · Directing 2–4 cases | $47.86 | $54.95 | $154.88 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $41.69 Median $60.26 Typical High $141.25 | Professional | QX · CRNA, directed | $41.69 | $60.26 | $141.25 |