How much rates vary
Facilitymedian $45 · 10th to 90th $40 to $832Professionalmedian $63 · 10th to 90th $40 to $468
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 $831.76 | Facility | None | $39.81 | $44.67 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $489.78 | Professional | None | $39.81 | $44.67 | $489.78 |
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 $199.53 Median $302.00 Typical High $630.96 | Professional | None | $199.53 | $302.00 | $630.96 |
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 $63.10 Median $436.52 Typical High $812.83 | Professional | None | $63.10 | $436.52 | $812.83 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
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 AA · Anesthesiologist Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | AA · Anesthesiologist | $2,570.40 | $2,570.40 | $2,570.40 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $177.83 Median $177.83 Typical High $1,174.90 | Professional | QK · Directing 2–4 cases | $177.83 | $177.83 | $1,174.90 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $177.83 Median $177.83 Typical High $2,041.74 | Professional | QX · CRNA, directed | $177.83 | $177.83 | $2,041.74 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | QZ · CRNA, independent | $2,238.72 | $2,238.72 | $2,238.72 |