How much rates vary
Facilitymedian $562 · 10th to 90th $40 to $1,738Professionalmedian $62 · 10th to 90th $38 to $316
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 $1,737.80 | Facility | None | $39.81 | $562.34 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $346.74 | Professional | None | $39.81 | $44.67 | $346.74 |
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 $165.96 Median $199.53 Typical High $741.31 | Professional | None | $165.96 | $199.53 | $741.31 |
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 $28.84 Median $275.42 Typical High $323.59 | Professional | None | $28.84 | $275.42 | $323.59 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
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 $933.25 Median $1,318.26 Typical High $1,445.44 | Professional | AA · Anesthesiologist | $933.25 | $1,318.26 | $1,445.44 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $537.03 Median $645.65 Typical High $724.44 | Professional | QK · Directing 2–4 cases | $537.03 | $645.65 | $724.44 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $478.63 Median $1,548.82 Typical High $1,548.82 | Professional | QX · CRNA, directed | $478.63 | $1,548.82 | $1,548.82 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $74.13 Median $645.65 Typical High $776.25 | Professional | QY · Directing one CRNA | $74.13 | $645.65 | $776.25 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $794.33 Median $1,174.90 Typical High $1,174.90 | Professional | QZ · CRNA, independent | $794.33 | $1,174.90 | $1,174.90 |