How much rates vary
Facilitymedian $123 · 10th to 90th $35 to $331Professionalmedian $141 · 10th to 90th $40 to $468
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $34.67 Median $218.78 Typical High $363.08 | Facility | None | $34.67 | $218.78 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $323.59 | Professional | None | $30.20 | $47.86 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $371.54 Typical High $407.38 | Facility | None | $19.95 | $371.54 | $407.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $954.99 | Professional | None | $33.11 | $89.13 | $954.99 |
AmeriHealth Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $302.00 | Professional | None | $194.98 | $204.17 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $645.65 | Facility | None | $331.13 | $331.13 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $380.19 | Professional | None | $109.65 | $173.78 | $380.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $213.80 Median $954.99 Typical High $1,905.46 | Professional | None | $213.80 | $954.99 | $1,905.46 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None | $21.38 | $22.91 | $25.12 |
BCBS Setting Facility Modifier None Typical Low $0.02 Median $34.67 Typical High $48.98 | Facility | None | $0.02 | $34.67 | $48.98 |
BCBS Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $288.40 | Professional | None | $123.03 | $181.97 | $288.40 |
Baylor Scott & White Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $223.87 | Professional | None | $131.83 | $158.49 | $223.87 |
Blue Shield Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $218.78 | Professional | None | $128.82 | $181.97 | $218.78 |
Capital Blue Cross Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $338.84 | Professional | None | $134.90 | $251.19 | $338.84 |
CareFirst Setting Professional Modifier None Typical Low $2.95 Median $3.31 Typical High $3.80 | Professional | None | $2.95 | $3.31 | $3.80 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $70.79 Typical High $295.12 | Facility | None | $28.18 | $70.79 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $120.23 | Professional | None | $28.84 | $43.65 | $120.23 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $28.18 | Professional | None | $20.42 | $25.12 | $28.18 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
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 $125.89 Median $208.93 Typical High $524.81 | Professional | None | $125.89 | $208.93 | $524.81 |
ConnectiCare Setting Professional Modifier None Typical Low $47.86 Median $263.03 Typical High $426.58 | Professional | None | $47.86 | $263.03 | $426.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $95.50 | Professional | None | $57.54 | $69.18 | $95.50 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $74.13 Typical High $120.23 | Facility | None | $60.26 | $74.13 | $120.23 |
DeanCare Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $87.10 | Professional | None | $41.69 | $41.69 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $3,630.78 | Facility | None | $1,905.46 | $3,388.44 | $3,630.78 |
Emblem Health Setting Professional Modifier None Typical Low $21.88 Median $69.18 Typical High $436.52 | Professional | None | $21.88 | $69.18 | $436.52 |
Excellus BCBS Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $213.80 | Professional | None | $39.81 | $50.12 | $213.80 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $5,888.44 | Facility | None | $21.38 | $30.20 | $5,888.44 |
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 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $257.04 | Professional | None | $97.72 | $162.18 | $257.04 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None | $114.82 | $114.82 | $134.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $100.00 | Professional | None | $47.86 | $61.66 | $100.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $288.40 | Facility | None | $199.53 | $208.93 | $288.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $281.84 | Professional | None | $52.48 | $52.48 | $281.84 |
Health New England Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $724.44 | Professional | None | $630.96 | $630.96 | $724.44 |
Health Smart Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $208.93 | Professional | None | $141.25 | $173.78 | $208.93 |
Hometown Health Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $309.03 | Professional | None | $144.54 | $194.98 | $309.03 |
Horizon BCBS Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $3,981.07 | Professional | None | $676.08 | $676.08 | $3,981.07 |
Independence Blue Cross Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | None | $194.98 | $194.98 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $457.09 | Professional | None | $131.83 | $213.80 | $457.09 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,905.46 | Professional | None | $954.99 | $954.99 | $1,905.46 |
MVP Health Care Setting Professional Modifier None Typical Low $123.03 Median $398.11 Typical High $501.19 | Professional | None | $123.03 | $398.11 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $257.04 Typical High $363.08 | Facility | None | $30.20 | $257.04 | $363.08 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $281.84 | Professional | None | $30.20 | $32.36 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $371.54 Typical High $407.38 | Facility | None | $19.95 | $371.54 | $407.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $954.99 | Professional | None | $33.11 | $89.13 | $954.99 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $181.97 Typical High $181.97 | Facility | None | $104.71 | $181.97 | $181.97 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $891.25 | Professional | None | $38.02 | $64.57 | $891.25 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $34.67 Median $134.90 Typical High $245.47 | Professional | None | $34.67 | $134.90 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $363.08 | Professional | None | $302.00 | $323.59 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $407.38 | Professional | None | $302.00 | $354.81 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $245.47 Typical High $363.08 | Facility | None | $43.65 | $245.47 | $363.08 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $309.03 | Professional | None | $41.69 | $52.48 | $309.03 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $117.49 Typical High $309.03 | Professional | None | $31.62 | $117.49 | $309.03 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $67.61 | Facility | None | $52.48 | $61.66 | $67.61 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $72.44 | Professional | None | $53.70 | $64.57 | $72.44 |
Network Health Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $457.09 | Professional | None | $323.59 | $380.19 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $3.47 Median $23.99 Typical High $47.86 | Professional | None | $3.47 | $23.99 | $47.86 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $295.12 | Facility | None | $186.21 | $208.93 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Premera BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | None | $162.18 | $162.18 | $281.84 |
Priority Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $5,128.61 Typical High $5,128.61 | Facility | None | $363.08 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $181.97 Typical High $288.40 | Professional | None | $79.43 | $181.97 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $512.86 | Professional | None | $245.47 | $316.23 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $309.03 | Professional | None | $154.88 | $186.21 | $309.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $309.03 | Professional | None | $213.80 | $239.88 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $416.87 | Professional | None | $208.93 | $338.84 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $331.13 | Professional | None | $158.49 | $302.00 | $331.13 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $31.62 Typical High $97.72 | Facility | None | $19.05 | $31.62 | $97.72 |
Sentara Setting Professional Modifier None Typical Low $22.91 Median $61.66 Typical High $89.13 | Professional | None | $22.91 | $61.66 | $89.13 |
SummaCare Setting Professional Modifier None Typical Low $44.67 Median $104.71 Typical High $218.78 | Professional | None | $44.67 | $104.71 | $218.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
The Alliance Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $269.15 | Professional | None | $81.28 | $165.96 | $269.15 |
Tufts Setting Professional Modifier None Typical Low $60.26 Median $97.72 Typical High $125.89 | Professional | None | $60.26 | $97.72 | $125.89 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $457.09 | Professional | None | $251.19 | $338.84 | $457.09 |
United Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $89.13 | Professional | None | $39.81 | $57.54 | $89.13 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $131.83 | Facility | None | $40.74 | $40.74 | $131.83 |
Univera Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $213.80 | Professional | None | $39.81 | $50.12 | $213.80 |
University Health Alliance Setting Professional Modifier None Typical Low $10.00 Median $48.98 Typical High $66.07 | Professional | None | $10.00 | $48.98 | $66.07 |
Well Sense Setting Facility Modifier None Typical Low $63.10 Median $83.18 Typical High $138.04 | Facility | None | $63.10 | $83.18 | $138.04 |
Well Sense Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | None | $60.26 | $60.26 | $72.44 |
Wellmark Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $338.84 | Professional | None | $251.19 | $275.42 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $74.13 | Professional | None | $3.02 | $3.02 | $74.13 |
60 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 $120.23 Median $218.78 Typical High $933.25 | Professional | AA · Anesthesiologist | $120.23 | $218.78 | $933.25 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $50.12 Median $213.80 Typical High $724.44 | Professional | QK · Directing 2–4 cases | $50.12 | $213.80 | $724.44 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $81.28 Median $95.50 Typical High $1,548.82 | Professional | QX · CRNA, directed | $81.28 | $95.50 | $1,548.82 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $40.74 Median $74.13 Typical High $776.25 | Professional | QY · Directing one CRNA | $40.74 | $74.13 | $776.25 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $117.49 Median $199.53 Typical High $1,174.90 | Professional | QZ · CRNA, independent | $117.49 | $199.53 | $1,174.90 |
Anthem BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | AA · Anesthesiologist | $398.11 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | QX · CRNA, directed | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | QZ · CRNA, independent | $398.11 | $398.11 | $398.11 |
Asuris Northwest Health Setting Professional Modifier AD · Supervising 5+ Typical Low $102.33 Median $107.15 Typical High $154.88 | Professional | AD · Supervising 5+ | $102.33 | $107.15 | $154.88 |
Asuris Northwest Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | QK · Directing 2–4 cases | $107.15 | $107.15 | $154.88 |
Asuris Northwest Health Setting Professional Modifier QX · CRNA, directed Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | QX · CRNA, directed | $107.15 | $107.15 | $154.88 |
Asuris Northwest Health Setting Professional Modifier QY · Directing one CRNA Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | QY · Directing one CRNA | $107.15 | $107.15 | $154.88 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $371.54 Median $501.19 Typical High $676.08 | Professional | QZ · CRNA, independent | $371.54 | $501.19 | $676.08 |
BCBS Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $147.91 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $109.65 | $147.91 | $154.88 |
BCBS Setting Professional Modifier AD · Supervising 5+ Typical Low $102.33 Median $120.23 Typical High $239.88 | Professional | AD · Supervising 5+ | $102.33 | $120.23 | $239.88 |
BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | QK · Directing 2–4 cases | $102.33 | $102.33 | $120.23 |
BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $51.29 Median $79.43 Typical High $102.33 | Professional | QX · CRNA, directed | $51.29 | $79.43 | $102.33 |
BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | QY · Directing one CRNA | $102.33 | $102.33 | $120.23 |
BCBS Setting Professional Modifier WV Typical Low $147.91 Median $186.21 Typical High $229.09 | Professional | WV | $147.91 | $186.21 | $229.09 |
CareFirst Setting Professional Modifier NA Typical Low $3.09 Median $3.16 Typical High $4.90 | Professional | NA | $3.09 | $3.16 | $4.90 |
Cigna Setting Professional Modifier AA · Anesthesiologist Typical Low $208.93 Median $263.03 Typical High $398.11 | Professional | AA · Anesthesiologist | $208.93 | $263.03 | $398.11 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $69.18 Median $154.88 Typical High $229.09 | Professional | AA · Anesthesiologist | $69.18 | $154.88 | $229.09 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $69.18 Median $154.88 Typical High $229.09 | Professional | AD · Supervising 5+ | $69.18 | $154.88 | $229.09 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $69.18 Median $154.88 Typical High $229.09 | Professional | QK · Directing 2–4 cases | $69.18 | $154.88 | $229.09 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $69.18 Median $154.88 Typical High $229.09 | Professional | QX · CRNA, directed | $69.18 | $154.88 | $229.09 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $69.18 Median $154.88 Typical High $229.09 | Professional | QY · Directing one CRNA | $69.18 | $154.88 | $229.09 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $69.18 Median $154.88 Typical High $229.09 | Professional | QZ · CRNA, independent | $69.18 | $154.88 | $229.09 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $40.74 Median $107.15 Typical High $933.25 | Professional | AA · Anesthesiologist | $40.74 | $107.15 | $933.25 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $44.67 Median $54.95 Typical High $123.03 | Professional | P2 · Mild systemic disease | $44.67 | $54.95 | $123.03 |
Health Alliance Plan Setting Professional Modifier QX · CRNA, directed Typical Low $41.69 Median $53.70 Typical High $407.38 | Professional | QX · CRNA, directed | $41.69 | $53.70 | $407.38 |
Health Partners Setting Professional Modifier AA · Anesthesiologist Typical Low $158.49 Median $239.88 Typical High $630.96 | Professional | AA · Anesthesiologist | $158.49 | $239.88 | $630.96 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $446.68 Median $645.65 Typical High $977.24 | Professional | AA · Anesthesiologist | $446.68 | $645.65 | $977.24 |
Highmark BCBS Setting Professional Modifier P2 · Mild systemic disease Typical Low $501.19 Median $575.44 Typical High $724.44 | Professional | P2 · Mild systemic disease | $501.19 | $575.44 | $724.44 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $426.58 Median $602.56 Typical High $776.25 | Professional | QK · Directing 2–4 cases | $426.58 | $602.56 | $776.25 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $354.81 Median $512.86 Typical High $724.44 | Professional | QX · CRNA, directed | $354.81 | $512.86 | $724.44 |
Highmark BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $346.74 Median $575.44 Typical High $776.25 | Professional | QY · Directing one CRNA | $346.74 | $575.44 | $776.25 |
Highmark BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $380.19 Median $524.81 Typical High $660.69 | Professional | QZ · CRNA, independent | $380.19 | $524.81 | $660.69 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $104.71 Median $323.59 Typical High $549.54 | Professional | P3 · Severe systemic disease | $104.71 | $323.59 | $549.54 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $104.71 Median $389.05 Typical High $630.96 | Professional | P4 · Life-threatening disease | $104.71 | $389.05 | $630.96 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $120.23 Median $457.09 Typical High $676.08 | Professional | P5 · Not expected to survive without surgery | $120.23 | $457.09 | $676.08 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $93.33 Median $114.82 Typical High $257.04 | Professional | P2 · Mild systemic disease | $93.33 | $114.82 | $257.04 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $67.61 Median $120.23 Typical High $239.88 | Professional | P3 · Severe systemic disease | $67.61 | $120.23 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier P3 · Severe systemic disease Typical Low $109.65 Median $169.82 Typical High $223.87 | Professional | P3 · Severe systemic disease | $109.65 | $169.82 | $223.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier P4 · Life-threatening disease Typical Low $138.04 Median $223.87 Typical High $295.12 | Professional | P4 · Life-threatening disease | $138.04 | $223.87 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $181.97 Median $281.84 Typical High $371.54 | Professional | P5 · Not expected to survive without surgery | $181.97 | $281.84 | $371.54 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $354.81 Median $354.81 Typical High $524.81 | Professional | QZ · CRNA, independent | $354.81 | $354.81 | $524.81 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $102.33 Median $120.23 Typical High $154.88 | Professional | AD · Supervising 5+ | $102.33 | $120.23 | $154.88 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $107.15 Median $120.23 Typical High $154.88 | Professional | QK · Directing 2–4 cases | $107.15 | $120.23 | $154.88 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $107.15 Median $120.23 Typical High $154.88 | Professional | QX · CRNA, directed | $107.15 | $120.23 | $154.88 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $107.15 Median $120.23 Typical High $154.88 | Professional | QY · Directing one CRNA | $107.15 | $120.23 | $154.88 |
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $208.93 Median $338.84 Typical High $416.87 | Professional | AD · Supervising 5+ | $208.93 | $338.84 | $416.87 |
Security Health Setting Professional Modifier P1 · Healthy patient Typical Low $208.93 Median $208.93 Typical High $446.68 | Professional | P1 · Healthy patient | $208.93 | $208.93 | $446.68 |
Security Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $208.93 Median $208.93 Typical High $446.68 | Professional | P2 · Mild systemic disease | $208.93 | $208.93 | $446.68 |
Security Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | P3 · Severe systemic disease | $281.84 | $281.84 | $588.84 |
Security Health Setting Professional Modifier P4 · Life-threatening disease Typical Low $346.74 Median $346.74 Typical High $741.31 | Professional | P4 · Life-threatening disease | $346.74 | $346.74 | $741.31 |
Security Health Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $416.87 Median $416.87 Typical High $891.25 | Professional | P5 · Not expected to survive without surgery | $416.87 | $416.87 | $891.25 |
Security Health Setting Professional Modifier P6 · Organ donor Typical Low $208.93 Median $208.93 Typical High $446.68 | Professional | P6 · Organ donor | $208.93 | $208.93 | $446.68 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | QX · CRNA, directed | $154.88 | $169.82 | $169.82 |