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 $1,023.29 Median $1,023.29 Typical High $1,819.70 | Facility | None | $1,023.29 | $1,023.29 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $1,288.25 | Facility | None | $660.69 | $758.58 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,202.26 | Professional | None | $707.95 | $1,000.00 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,819.70 | Facility | None | $407.38 | $407.38 | $1,819.70 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $489.78 | Professional | None | $398.11 | $407.38 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $616.60 | Facility | None | $407.38 | $446.68 | $616.60 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $660.69 Typical High $1,202.26 | Facility | None | $489.78 | $660.69 | $1,202.26 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $446.68 Typical High $588.84 | Professional | None | $70.79 | $446.68 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,412.54 Typical High $1,819.70 | Facility | None | $812.83 | $1,412.54 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $489.78 | Professional | None | $323.59 | $346.74 | $489.78 |
United Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $660.69 | Facility | None | $489.78 | $616.60 | $660.69 |
United Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $489.78 | Professional | None | $173.78 | $190.55 | $489.78 |
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 $158.49 Median $173.78 Typical High $245.47 | Professional | AD · Supervising 5+ | $158.49 | $173.78 | $245.47 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $158.49 Median $173.78 Typical High $245.47 | Professional | QK · Directing 2–4 cases | $158.49 | $173.78 | $245.47 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $158.49 Median $173.78 Typical High $245.47 | Professional | QX · CRNA, directed | $158.49 | $173.78 | $245.47 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $158.49 Median $173.78 Typical High $245.47 | Professional | QY · Directing one CRNA | $158.49 | $173.78 | $245.47 |
Where Oregon sits
The same service costs 11.7 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.
Oregon· 18th of 51
$447
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.