How much rates vary
Facilitymedian $234 · 10th to 90th $30 to $302Professionalmedian $145 · 10th to 90th $44 to $363
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 $30.20 Median $234.42 Typical High $302.00 | Facility | None | $30.20 | $234.42 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $407.38 | Professional | None | $30.20 | $47.86 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $371.54 | Professional | None | $107.15 | $151.36 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $676.08 | Professional | None | $181.97 | $288.40 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $346.74 Typical High $630.96 | Professional | None | $151.36 | $346.74 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $3.55 Median $34.67 Typical High $58.88 | Professional | None | $3.55 | $34.67 | $58.88 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $97.72 | Professional | None | $52.48 | $75.86 | $97.72 |
7 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 $181.97 Median $181.97 Typical High $851.14 | Professional | AA · Anesthesiologist | $181.97 | $181.97 | $851.14 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $91.20 Median $91.20 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $91.20 | $91.20 | $457.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $91.20 Median $91.20 Typical High $741.31 | Professional | QX · CRNA, directed | $91.20 | $91.20 | $741.31 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | QZ · CRNA, independent | $181.97 | $181.97 | $181.97 |
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 |