How much rates vary
Facilitymedian $45 · 10th to 90th $30 to $81Professionalmedian $28 · 10th to 90th $14 to $148
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 $27.54 Median $27.54 Typical High $41.69 | Facility | None | $27.54 | $27.54 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | None (both parts) | $27.54 | $27.54 | $28.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.39 Median $38.90 Typical High $81.28 | Facility | None | $22.39 | $38.90 | $81.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $25.12 | $147.91 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $63.10 Typical High $74.13 | Facility | None | $43.65 | $63.10 | $74.13 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $74.13 | Professional | None (both parts) | $23.44 | $33.88 | $74.13 |
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 $29.51 Median $32.36 Typical High $41.69 | Facility | None | $29.51 | $32.36 | $41.69 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $51.29 Typical High $89.13 | Facility | None | $32.36 | $51.29 | $89.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $35.48 | Professional | None (both parts) | $26.92 | $26.92 | $35.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $81.28 | Facility | None | $29.51 | $48.98 | $81.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.18 Typical High $33.11 | Professional | None (both parts) | $25.12 | $28.18 | $33.11 |
United Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $35.48 | Facility | None | $29.51 | $35.48 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $33.11 | Professional | None (both parts) | $12.30 | $12.30 | $33.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $13.18 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $13.18 | $29.51 | $53.70 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Asuris Northwest Health Setting Professional Modifier AD · Supervising 5+ Typical Low $12.59 Median $28.18 Typical High $66.07 | Professional | AD · Supervising 5+ | $12.59 | $28.18 | $66.07 |
Asuris Northwest Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $12.59 Median $25.12 Typical High $33.11 | Professional | QK · Directing 2–4 cases | $12.59 | $25.12 | $33.11 |
Asuris Northwest Health Setting Professional Modifier QX · CRNA, directed Typical Low $12.59 Median $25.12 Typical High $33.11 | Professional | QX · CRNA, directed | $12.59 | $25.12 | $33.11 |
Asuris Northwest Health Setting Professional Modifier QY · Directing one CRNA Typical Low $12.59 Median $25.12 Typical High $33.11 | Professional | QY · Directing one CRNA | $12.59 | $25.12 | $33.11 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $186.21 | $223.87 | $223.87 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $12.59 Median $25.12 Typical High $36.31 | Professional | AD · Supervising 5+ | $12.59 | $25.12 | $36.31 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $12.59 Median $25.12 Typical High $33.11 | Professional | QK · Directing 2–4 cases | $12.59 | $25.12 | $33.11 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $12.59 Median $25.12 Typical High $33.11 | Professional | QX · CRNA, directed | $12.59 | $25.12 | $33.11 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $12.59 Median $25.12 Typical High $33.11 | Professional | QY · Directing one CRNA | $12.59 | $25.12 | $33.11 |
Where Washington sits
The same service costs 7.6 times more in Texas than in New Mexico. 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· 22nd of 51
$29.51
TX $105NM $13.80
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.