How much rates vary
Facilitymedian $45 · 10th to 90th $40 to $977Professionalmedian $62 · 10th to 90th $39 to $550
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 $44.67 Typical High $977.24 | Facility | None | $39.81 | $44.67 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $562.34 | Professional | None | $38.02 | $44.67 | $562.34 |
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 $239.88 Median $363.08 Typical High $758.58 | Professional | None | $239.88 | $363.08 | $758.58 |
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 $63.10 Median $549.54 Typical High $812.83 | Professional | None | $63.10 | $549.54 | $812.83 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
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 $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | AA · Anesthesiologist | $1,445.44 | $1,445.44 | $1,698.24 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $138.04 Median $169.82 Typical High $1,737.80 | Professional | QK · Directing 2–4 cases | $138.04 | $169.82 | $1,737.80 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $104.71 Median $125.89 Typical High $3,162.28 | Professional | QX · CRNA, directed | $104.71 | $125.89 | $3,162.28 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $1,122.02 Median $1,659.59 Typical High $1,659.59 | Professional | QY · Directing one CRNA | $1,122.02 | $1,659.59 | $1,659.59 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $1,698.24 Median $1,698.24 Typical High $2,344.23 | Professional | QZ · CRNA, independent | $1,698.24 | $1,698.24 | $2,344.23 |