How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $407Professionalmedian $52 · 10th to 90th $40 to $309
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 $407.38 | Facility | None | $39.81 | $57.54 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $354.81 | Professional | None | $39.81 | $57.54 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | None | $251.19 | $251.19 | $338.84 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | AD · Supervising 5+ | $275.42 | $275.42 | $275.42 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | QK · Directing 2–4 cases | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | QX · CRNA, directed | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | QY · Directing one CRNA | $89.13 | $89.13 | $89.13 |