How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $269Professionalmedian $52 · 10th to 90th $40 to $302
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 $57.54 Typical High $269.15 | Facility | None | $39.81 | $57.54 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $234.42 | Professional | None | $39.81 | $57.54 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $302.00 | Professional | None | $151.36 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
4 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 $436.52 Median $436.52 Typical High $436.52 | Professional | AA · Anesthesiologist | $436.52 | $436.52 | $436.52 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | QK · Directing 2–4 cases | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $95.50 Median $109.65 Typical High $134.90 | Professional | QX · CRNA, directed | $95.50 | $109.65 | $134.90 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | QZ · CRNA, independent | $165.96 | $165.96 | $165.96 |