How much rates vary
Facilitymedian $562 · 10th to 90th $40 to $603Professionalmedian $347 · 10th to 90th $40 to $3,802
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 $562.34 Typical High $602.56 | Facility | None | $39.81 | $562.34 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $602.56 | Professional | None | $39.81 | $47.86 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $616.60 | Professional | None | $331.13 | $389.05 | $616.60 |
Lucent Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,905.46 | $1,905.46 | $3,801.89 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $77.62 |
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 $194.98 Median $213.80 Typical High $213.80 | Professional | AA · Anesthesiologist | $194.98 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $89.13 Median $89.13 Typical High $162.18 | Professional | QK · Directing 2–4 cases | $89.13 | $89.13 | $162.18 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $89.13 Median $97.72 Typical High $162.18 | Professional | QX · CRNA, directed | $89.13 | $97.72 | $162.18 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | QZ · CRNA, independent | $194.98 | $194.98 | $331.13 |