How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $269Professionalmedian $263 · 10th to 90th $50 to $347
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $302.00 | Professional | None | $50.12 | $50.12 | $302.00 |
BCBS Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $302.00 | Professional | None | $208.93 | $281.84 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $257.04 | Professional | None | $199.53 | $229.09 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $169.82 Typical High $302.00 | Professional | None | $50.12 | $169.82 | $302.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Facility | None | $52.48 | $61.66 | $61.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $112.20 | Professional | None | $53.70 | $61.66 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $302.00 | Professional | None | $257.04 | $269.15 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $398.11 | Professional | None | $269.15 | $346.74 | $398.11 |
11 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $194.98 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $147.91 | $194.98 | $204.17 |
BCBS Setting Professional Modifier AD · Supervising 5+ Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | AD · Supervising 5+ | $128.82 | $128.82 | $151.36 |
BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | QK · Directing 2–4 cases | $128.82 | $128.82 | $151.36 |
BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | QX · CRNA, directed | $128.82 | $128.82 | $151.36 |
BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | QY · Directing one CRNA | $128.82 | $128.82 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $128.82 Median $134.90 Typical High $151.36 | Professional | AD · Supervising 5+ | $128.82 | $134.90 | $151.36 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $128.82 Median $134.90 Typical High $151.36 | Professional | QK · Directing 2–4 cases | $128.82 | $134.90 | $151.36 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $128.82 Median $134.90 Typical High $151.36 | Professional | QX · CRNA, directed | $128.82 | $134.90 | $151.36 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $128.82 Median $134.90 Typical High $151.36 | Professional | QY · Directing one CRNA | $128.82 | $134.90 | $151.36 |