How much rates vary
Facilitymedian $209 · 10th to 90th $200 to $288Professionalmedian $71 · 10th to 90th $48 to $1,072
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 $63.10 Median $208.93 Typical High $288.40 | Facility | None | $63.10 | $208.93 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $281.84 | Professional | None | $47.86 | $52.48 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,023.29 | $1,071.52 | $1,071.52 |
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 |
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 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
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 QY · Directing one CRNA Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | QY · Directing one CRNA | $40.74 | $40.74 | $40.74 |
BCBS Setting Professional Modifier QK · Directing 2–4 cases + QY · Directing one CRNA Typical Low $41.69 Median $56.23 Typical High $123.03 | Professional | QK · Directing 2–4 cases + QY · Directing one CRNA | $41.69 | $56.23 | $123.03 |
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 |