How much rates vary
Facilitymedian $295 · 10th to 90th $30 to $363Professionalmedian $234 · 10th to 90th $30 to $339
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 $30.20 Median $295.12 Typical High $363.08 | Facility | None | $30.20 | $295.12 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $309.03 | Professional | None | $30.20 | $30.20 | $309.03 |
AmeriHealth Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $302.00 | Professional | None | $194.98 | $204.17 | $302.00 |
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 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $269.15 | Professional | None | $125.89 | $165.96 | $269.15 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $245.47 Typical High $467.74 | Professional | None | $44.67 | $245.47 | $467.74 |
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 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $295.12 Typical High $363.08 | Facility | None | $30.20 | $295.12 | $363.08 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $281.84 | Professional | None | $30.20 | $30.20 | $281.84 |
Oscar Health Setting Professional Modifier None Typical Low $3.02 Median $30.20 Typical High $77.62 | Professional | None | $3.02 | $30.20 | $77.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None | $34.67 | $54.95 | $75.86 |
12 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 QX · CRNA, directed + QY · Directing one CRNA Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | QX · CRNA, directed + QY · Directing one CRNA | $158.49 | $158.49 | $158.49 |
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 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $436.52 Median $616.60 Typical High $1,047.13 | Professional | AA · Anesthesiologist | $436.52 | $616.60 | $1,047.13 |
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 $467.74 Median $602.56 Typical High $776.25 | Professional | QK · Directing 2–4 cases | $467.74 | $602.56 | $776.25 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $331.13 Median $501.19 Typical High $691.83 | Professional | QX · CRNA, directed | $331.13 | $501.19 | $691.83 |
Highmark BCBS Setting Professional Modifier QY · Directing one CRNA Typical Low $288.40 Median $537.03 Typical High $758.58 | Professional | QY · Directing one CRNA | $288.40 | $537.03 | $758.58 |