How much rates vary
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 $8,912.51 Median $8,912.51 Typical High $16,218.10 | Facility | None | $8,912.51 | $8,912.51 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,235.94 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $5,888.44 Median $6,606.93 Typical High $11,220.18 | Facility | None | $5,888.44 | $6,606.93 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6,165.95 Median $8,709.64 Typical High $10,471.29 | Professional | None | $6,165.95 | $8,709.64 | $10,471.29 |
Moda Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $16,218.10 | Facility | None | $3,630.78 | $3,630.78 | $16,218.10 |
Moda Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $4,365.16 | Professional | None | $3,467.37 | $3,630.78 | $4,365.16 |
Pacific Source Setting Facility Modifier None Typical Low $3,235.94 Median $3,981.07 Typical High $5,370.32 | Facility | None | $3,235.94 | $3,981.07 | $5,370.32 |
Providence Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $10,715.19 | Facility | None | $4,365.16 | $5,888.44 | $10,715.19 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $3,981.07 Typical High $5,011.87 | Professional | None | $70.79 | $3,981.07 | $5,011.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $12,302.69 Typical High $16,218.10 | Facility | None | $7,244.36 | $12,302.69 | $16,218.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $4,365.16 | Professional | None | $2,818.38 | $3,090.30 | $4,365.16 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,370.32 Typical High $5,754.40 | Facility | None | $4,365.16 | $5,370.32 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $4,365.16 | Professional | None | $1,513.56 | $1,513.56 | $4,365.16 |
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 |
|---|---|---|---|---|---|
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $1,412.54 Median $1,513.56 Typical High $2,137.96 | Professional | AD · Supervising 5+ | $1,412.54 | $1,513.56 | $2,137.96 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,412.54 Median $1,513.56 Typical High $2,137.96 | Professional | QK · Directing 2–4 cases | $1,412.54 | $1,513.56 | $2,137.96 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $1,412.54 Median $1,513.56 Typical High $2,137.96 | Professional | QX · CRNA, directed | $1,412.54 | $1,513.56 | $2,137.96 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $1,412.54 Median $1,513.56 Typical High $2,137.96 | Professional | QY · Directing one CRNA | $1,412.54 | $1,513.56 | $2,137.96 |
Where Oregon sits
The same service costs 6.0 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.
Oregon· 14th of 51
$3,981
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.