How much rates vary
Facilitymedian $45 · 10th to 90th $40 to $562Professionalmedian $56 · 10th to 90th $38 to $302
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 $44.67 Typical High $562.34 | Facility | None | $39.81 | $44.67 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $323.59 | Professional | None | $38.90 | $44.67 | $323.59 |
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 $120.23 Median $181.97 Typical High $380.19 | Professional | None | $120.23 | $181.97 | $380.19 |
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 $38.02 Median $263.03 Typical High $489.78 | Professional | None | $38.02 | $263.03 | $489.78 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
5 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 $125.89 Median $125.89 Typical High $125.89 | Professional | AA · Anesthesiologist | $125.89 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $63.10 Median $104.71 Typical High $794.33 | Professional | QK · Directing 2–4 cases | $63.10 | $104.71 | $794.33 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $95.50 Median $151.36 Typical High $1,348.96 | Professional | QX · CRNA, directed | $95.50 | $151.36 | $1,348.96 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | QY · Directing one CRNA | $457.09 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $125.89 Median $229.09 Typical High $1,698.24 | Professional | QZ · CRNA, independent | $125.89 | $229.09 | $1,698.24 |