How much rates vary
Facilitymedian $45 · 10th to 90th $25 to $1,122Professionalmedian $63 · 10th to 90th $38 to $631
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 $24.55 Median $39.81 Typical High $1,122.02 | Facility | None | $24.55 | $39.81 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $645.65 | Professional | None | $38.02 | $44.67 | $645.65 |
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 $281.84 Median $416.87 Typical High $891.25 | Professional | None | $281.84 | $416.87 | $891.25 |
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 $89.13 Median $776.25 Typical High $1,148.15 | Professional | None | $89.13 | $776.25 | $1,148.15 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
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 $954.99 Median $1,445.44 Typical High $2,754.23 | Professional | AA · Anesthesiologist | $954.99 | $1,445.44 | $2,754.23 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $95.50 Median $707.95 Typical High $1,047.13 | Professional | QK · Directing 2–4 cases | $95.50 | $707.95 | $1,047.13 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $95.50 Median $724.44 Typical High $1,122.02 | Professional | QX · CRNA, directed | $95.50 | $724.44 | $1,122.02 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $645.65 Median $724.44 Typical High $1,513.56 | Professional | QY · Directing one CRNA | $645.65 | $724.44 | $1,513.56 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $169.82 Median $1,174.90 Typical High $1,698.24 | Professional | QZ · CRNA, independent | $169.82 | $1,174.90 | $1,698.24 |