How much rates vary
Facilitymedian $182 · 10th to 90th $42 to $263Professionalmedian $71 · 10th to 90th $40 to $891
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 $41.69 Median $199.53 Typical High $263.03 | Facility | None | $41.69 | $199.53 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $302.00 | Professional | None | $41.69 | $44.67 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $323.59 | Professional | None | $165.96 | $199.53 | $323.59 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $251.19 | Professional | None | $138.04 | $181.97 | $251.19 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $891.25 | Professional | None | $39.81 | $67.61 | $891.25 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
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 QK · Directing 2–4 cases Typical Low $77.62 Median $112.20 Typical High $125.89 | Professional | QK · Directing 2–4 cases | $77.62 | $112.20 | $125.89 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $67.61 Median $77.62 Typical High $125.89 | Professional | QX · CRNA, directed | $67.61 | $77.62 | $125.89 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $120.23 Median $162.18 Typical High $199.53 | Professional | QZ · CRNA, independent | $120.23 | $162.18 | $199.53 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | QZ · CRNA, independent | $295.12 | $295.12 | $588.84 |