Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $25.12 Median $37.15 Typical High $323.59 | Facility | Global | $25.12 | $37.15 | $323.59 |
Aetna Setting Facility Modifier QK · Directing 2–4 cases Typical Low $354.81 Median $354.81 Typical High $831.76 | Facility | QK · Directing 2–4 cases | $354.81 | $354.81 | $831.76 |
Aetna Setting Facility Modifier QX · CRNA, directed Typical Low $295.12 Median $316.23 Typical High $537.03 | Facility | QX · CRNA, directed | $295.12 | $316.23 | $537.03 |
Aetna Setting Professional Modifier AA · Anesthesiologist Typical Low $199.53 Median $1,000.00 Typical High $2,041.74 | Professional | AA · Anesthesiologist | $199.53 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier QK · Directing 2–4 cases Typical Low $295.12 Median $602.56 Typical High $912.01 | Professional | QK · Directing 2–4 cases | $295.12 | $602.56 | $912.01 |
Aetna Setting Professional Modifier QX · CRNA, directed Typical Low $302.00 Median $575.44 Typical High $954.99 | Professional | QX · CRNA, directed | $302.00 | $575.44 | $954.99 |
Aetna Setting Professional Modifier QZ · CRNA, independent Typical Low $151.36 Median $954.99 Typical High $1,412.54 | Professional | QZ · CRNA, independent | $151.36 | $954.99 | $1,412.54 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $218.78 Median $239.88 Typical High $1,096.48 | Professional | AA · Anesthesiologist | $218.78 | $239.88 | $1,096.48 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $123.03 Median $134.90 Typical High $426.58 | Professional | QK · Directing 2–4 cases | $123.03 | $134.90 | $426.58 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $10.00 Median $134.90 Typical High $426.58 | Professional | QX · CRNA, directed | $10.00 | $134.90 | $426.58 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | QZ · CRNA, independent | $162.18 | $162.18 | $162.18 |
BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $234.42 Median $426.58 Typical High $575.44 | Professional | AA · Anesthesiologist | $234.42 | $426.58 | $575.44 |
BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $70.79 Median $147.91 Typical High $269.15 | Professional | QX · CRNA, directed | $70.79 | $147.91 | $269.15 |
BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $165.96 Median $295.12 Typical High $457.09 | Professional | QZ · CRNA, independent | $165.96 | $295.12 | $457.09 |
Medcost Setting Facility Modifier Global Typical Low $33.11 Median $2,187.76 Typical High $3,981.07 | Facility | Global | $33.11 | $2,187.76 | $3,981.07 |
United Setting Professional Modifier QK · Directing 2–4 cases Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | QK · Directing 2–4 cases | $89.13 | $89.13 | $89.13 |