How much rates vary
Facilitymedian $4,467 · 10th to 90th $3,020 to $8,318Professionalmedian $3,020 · 10th to 90th $1,259 to $15,136
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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,511.89 Typical High $4,265.80 | Professional | None (both parts) | $1,513.56 | $2,511.89 | $4,265.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,238.72 Median $3,890.45 Typical High $8,317.64 | Facility | None | $2,238.72 | $3,890.45 | $8,317.64 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $15,135.61 Typical High $22,387.21 | Professional | None (both parts) | $2,570.40 | $15,135.61 | $22,387.21 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $6,309.57 Typical High $7,585.78 | Facility | None | $4,365.16 | $6,309.57 | $7,585.78 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,467.37 Typical High $7,585.78 | Professional | None (both parts) | $2,398.83 | $3,467.37 | $7,585.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $3,019.95 Median $3,311.31 Typical High $5,011.87 | Facility | None | $3,019.95 | $3,311.31 | $5,011.87 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,630.78 Typical High $6,025.60 | Professional | None (both parts) | $3,019.95 | $3,630.78 | $6,025.60 |
Premera BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $8,912.51 | Facility | None | $3,019.95 | $5,248.07 | $8,912.51 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $2,691.53 Typical High $3,630.78 | Professional | None (both parts) | $2,691.53 | $2,691.53 | $3,630.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $4,897.79 Typical High $8,317.64 | Facility | None | $3,019.95 | $4,897.79 | $8,317.64 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,691.53 Typical High $3,388.44 | Professional | None (both parts) | $2,570.40 | $2,691.53 | $3,388.44 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,019.95 | $3,630.78 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $3,019.95 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $3,019.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $3,019.95 Typical High $5,370.32 | Professional | None (both parts) | $1,348.96 | $3,019.95 | $5,370.32 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | 26 · Professional part | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,412.54 Median $1,412.54 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | 53 · Discontinued | $562.34 | $562.34 | $588.84 |
Asuris Northwest Health Setting Professional Modifier AD · Supervising 5+ Typical Low $1,288.25 Median $2,884.03 Typical High $6,606.93 | Professional | AD · Supervising 5+ | $1,288.25 | $2,884.03 | $6,606.93 |
Asuris Northwest Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,288.25 Median $2,570.40 Typical High $3,388.44 | Professional | QK · Directing 2–4 cases | $1,288.25 | $2,570.40 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier QX · CRNA, directed Typical Low $1,288.25 Median $2,570.40 Typical High $3,388.44 | Professional | QX · CRNA, directed | $1,288.25 | $2,570.40 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier QY · Directing one CRNA Typical Low $1,288.25 Median $2,570.40 Typical High $3,388.44 | Professional | QY · Directing one CRNA | $1,288.25 | $2,570.40 | $3,388.44 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $18,620.87 Median $22,387.21 Typical High $22,387.21 | Professional | TC · Technical part | $18,620.87 | $22,387.21 | $22,387.21 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $1,288.25 Median $2,570.40 Typical High $3,715.35 | Professional | AD · Supervising 5+ | $1,288.25 | $2,570.40 | $3,715.35 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,288.25 Median $2,570.40 Typical High $3,388.44 | Professional | QK · Directing 2–4 cases | $1,288.25 | $2,570.40 | $3,388.44 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $1,288.25 Median $2,570.40 Typical High $3,388.44 | Professional | QX · CRNA, directed | $1,288.25 | $2,570.40 | $3,388.44 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $1,288.25 Median $2,570.40 Typical High $3,388.44 | Professional | QY · Directing one CRNA | $1,288.25 | $2,570.40 | $3,388.44 |
Where Washington sits
The same service costs 25.7 times more in Texas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 14th of 51
$3,311
TX $15,136AL $589
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.