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 $3,311.31 Median $3,311.31 Typical High $4,897.79 | Facility | None | $3,311.31 | $3,311.31 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,388.44 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,388.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,630.27 Median $4,570.88 Typical High $9,549.93 | Facility | None | $2,630.27 | $4,570.88 | $9,549.93 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $17,378.01 Typical High $26,302.68 | Professional | None (both parts) | $2,951.21 | $17,378.01 | $26,302.68 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $7,762.47 Typical High $9,120.11 | Facility | None | $5,128.61 | $7,762.47 | $9,120.11 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $3,981.07 Typical High $8,709.64 | Professional | None (both parts) | $2,818.38 | $3,981.07 | $8,709.64 |
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 $3,467.37 Median $3,467.37 Typical High $4,168.69 | Facility | None | $3,467.37 | $3,467.37 | $4,168.69 |
Premera BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $6,165.95 Typical High $10,471.29 | Facility | None | $3,467.37 | $6,165.95 | $10,471.29 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $4,168.69 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $4,168.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,467.37 | $5,495.41 | $9,549.93 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $3,467.37 Typical High $4,168.69 | Professional | None (both parts) | $2,951.21 | $3,467.37 | $4,168.69 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $4,168.69 Typical High $4,168.69 | Facility | None | $3,467.37 | $4,168.69 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $3,467.37 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $3,467.37 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $3,467.37 Typical High $6,309.57 | Professional | None (both parts) | $1,584.89 | $3,467.37 | $6,309.57 |
10 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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | 26 · Professional part | $3,311.31 | $3,311.31 | $3,311.31 |
Asuris Northwest Health Setting Professional Modifier AD · Supervising 5+ Typical Low $1,479.11 Median $3,311.31 Typical High $7,762.47 | Professional | AD · Supervising 5+ | $1,479.11 | $3,311.31 | $7,762.47 |
Asuris Northwest Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,479.11 Median $2,951.21 Typical High $3,890.45 | Professional | QK · Directing 2–4 cases | $1,479.11 | $2,951.21 | $3,890.45 |
Asuris Northwest Health Setting Professional Modifier QX · CRNA, directed Typical Low $1,479.11 Median $2,951.21 Typical High $3,890.45 | Professional | QX · CRNA, directed | $1,479.11 | $2,951.21 | $3,890.45 |
Asuris Northwest Health Setting Professional Modifier QY · Directing one CRNA Typical Low $1,479.11 Median $2,951.21 Typical High $3,890.45 | Professional | QY · Directing one CRNA | $1,479.11 | $2,951.21 | $3,890.45 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $21,877.62 Median $26,302.68 Typical High $26,302.68 | Professional | TC · Technical part | $21,877.62 | $26,302.68 | $26,302.68 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $1,479.11 Median $3,090.30 Typical High $4,265.80 | Professional | AD · Supervising 5+ | $1,479.11 | $3,090.30 | $4,265.80 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,479.11 Median $2,951.21 Typical High $3,890.45 | Professional | QK · Directing 2–4 cases | $1,479.11 | $2,951.21 | $3,890.45 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $1,479.11 Median $2,951.21 Typical High $3,890.45 | Professional | QX · CRNA, directed | $1,479.11 | $2,951.21 | $3,890.45 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $1,479.11 Median $2,951.21 Typical High $3,890.45 | Professional | QY · Directing one CRNA | $1,479.11 | $2,951.21 | $3,890.45 |
Where Washington sits
The same service costs 14.1 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· 20th of 51
$3,467
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.