How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,905 to $5,248Professionalmedian $1,905 · 10th to 90th $794 to $9,550
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,819.70 Typical High $4,570.88 | Professional | None (both parts) | $1,318.26 | $1,819.70 | $4,570.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $5,248.07 | Facility | None | $1,412.54 | $2,454.71 | $5,248.07 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $9,549.93 Typical High $14,125.38 | Professional | None (both parts) | $1,621.81 | $9,549.93 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $4,073.80 Typical High $4,786.30 | Facility | None | $2,754.23 | $4,073.80 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,187.76 Typical High $4,786.30 | Professional | None (both parts) | $1,513.56 | $2,187.76 | $4,786.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $75.86 | Professional | None (both parts) | $44.67 | $50.12 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,290.87 | Facility | None | $1,905.46 | $1,905.46 | $2,290.87 |
Premera BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $3,311.31 Typical High $5,754.40 | Facility | None | $1,905.46 | $3,311.31 | $5,754.40 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,290.87 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,248.07 | Facility | None | $1,905.46 | $2,951.21 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $1,621.81 | $1,698.24 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $2,290.87 | Facility | None | $1,905.46 | $2,290.87 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,905.46 | Professional | None (both parts) | $794.33 | $794.33 | $1,905.46 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,905.46 Typical High $3,388.44 | Professional | None (both parts) | $851.14 | $1,905.46 | $3,388.44 |
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 26 · Professional part | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 52 · Reduced service | $891.25 | $891.25 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | 53 · Discontinued | $354.81 | $354.81 | $371.54 |
Asuris Northwest Health Setting Professional Modifier AD · Supervising 5+ Typical Low $812.83 Median $1,819.70 Typical High $4,168.69 | Professional | AD · Supervising 5+ | $812.83 | $1,819.70 | $4,168.69 |
Asuris Northwest Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $812.83 Median $1,621.81 Typical High $2,137.96 | Professional | QK · Directing 2–4 cases | $812.83 | $1,621.81 | $2,137.96 |
Asuris Northwest Health Setting Professional Modifier QX · CRNA, directed Typical Low $812.83 Median $1,621.81 Typical High $2,137.96 | Professional | QX · CRNA, directed | $812.83 | $1,621.81 | $2,137.96 |
Asuris Northwest Health Setting Professional Modifier QY · Directing one CRNA Typical Low $812.83 Median $1,621.81 Typical High $2,137.96 | Professional | QY · Directing one CRNA | $812.83 | $1,621.81 | $2,137.96 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $12,022.64 Median $14,125.38 Typical High $14,125.38 | Professional | TC · Technical part | $12,022.64 | $14,125.38 | $14,125.38 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $812.83 Median $1,621.81 Typical High $2,344.23 | Professional | AD · Supervising 5+ | $812.83 | $1,621.81 | $2,344.23 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $812.83 Median $1,621.81 Typical High $2,137.96 | Professional | QK · Directing 2–4 cases | $812.83 | $1,621.81 | $2,137.96 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $812.83 Median $1,621.81 Typical High $2,137.96 | Professional | QX · CRNA, directed | $812.83 | $1,621.81 | $2,137.96 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $812.83 Median $1,621.81 Typical High $2,137.96 | Professional | QY · Directing one CRNA | $812.83 | $1,621.81 | $2,137.96 |
Where Washington sits
The same service costs 12.0 times more in Texas than in Ohio. 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
$1,905
TX $9,550OH $794
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.