How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $489.78 Typical High $524.81 | Facility | None | $50.12 | $489.78 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $512.86 | Professional | None | $41.69 | $50.12 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $1,659.59 Typical High $3,388.44 | Professional | None | $371.54 | $1,659.59 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $524.81 | Professional | None | $309.03 | $331.13 | $524.81 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $141.25 | Professional | None | $63.10 | $75.86 | $141.25 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $478.63 | Facility | None | $331.13 | $363.08 | $478.63 |
Premera BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | None | $323.59 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | None | $371.54 | $371.54 | $549.54 |
United Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $83.18 | Professional | None | $45.71 | $56.23 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $123.03 Typical High $123.03 | Professional | None | $6.03 | $123.03 | $123.03 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $389.05 Median $389.05 Typical High $1,318.26 | Professional | QZ · CRNA, independent | $389.05 | $389.05 | $1,318.26 |