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 $2,951.21 Median $2,951.21 Typical High $4,466.84 | Facility | None | $2,951.21 | $2,951.21 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,344.23 Median $4,073.80 Typical High $8,709.64 | Facility | None | $2,344.23 | $4,073.80 | $8,709.64 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $15,848.93 Typical High $23,442.29 | Professional | None (both parts) | $2,691.53 | $15,848.93 | $23,442.29 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $7,943.28 | Facility | None | $4,570.88 | $6,760.83 | $7,943.28 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,630.78 Typical High $7,943.28 | Professional | None (both parts) | $2,511.89 | $3,630.78 | $7,943.28 |
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 $3,162.28 Median $3,467.37 Typical High $4,073.80 | Facility | None | $3,162.28 | $3,467.37 | $4,073.80 |
Premera BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,162.28 | $5,495.41 | $9,549.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $3,801.89 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $3,801.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $5,011.87 Typical High $8,709.64 | Facility | None | $3,162.28 | $5,011.87 | $8,709.64 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $2,818.38 Typical High $3,548.13 | Professional | None (both parts) | $2,691.53 | $2,818.38 | $3,548.13 |
United Setting Facility Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,162.28 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $3,162.28 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $3,162.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $3,162.28 Typical High $5,623.41 | Professional | None (both parts) | $1,412.54 | $3,162.28 | $5,623.41 |
9 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 |
|---|---|---|---|---|---|
Asuris Northwest Health Setting Professional Modifier AD · Supervising 5+ Typical Low $1,348.96 Median $3,019.95 Typical High $6,918.31 | Professional | AD · Supervising 5+ | $1,348.96 | $3,019.95 | $6,918.31 |
Asuris Northwest Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,348.96 Median $2,691.53 Typical High $3,548.13 | Professional | QK · Directing 2–4 cases | $1,348.96 | $2,691.53 | $3,548.13 |
Asuris Northwest Health Setting Professional Modifier QX · CRNA, directed Typical Low $1,348.96 Median $2,691.53 Typical High $3,548.13 | Professional | QX · CRNA, directed | $1,348.96 | $2,691.53 | $3,548.13 |
Asuris Northwest Health Setting Professional Modifier QY · Directing one CRNA Typical Low $1,348.96 Median $2,691.53 Typical High $3,548.13 | Professional | QY · Directing one CRNA | $1,348.96 | $2,691.53 | $3,548.13 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $19,952.62 Median $23,442.29 Typical High $23,442.29 | Professional | TC · Technical part | $19,952.62 | $23,442.29 | $23,442.29 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $1,348.96 Median $2,691.53 Typical High $3,890.45 | Professional | AD · Supervising 5+ | $1,348.96 | $2,691.53 | $3,890.45 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,348.96 Median $2,691.53 Typical High $3,548.13 | Professional | QK · Directing 2–4 cases | $1,348.96 | $2,691.53 | $3,548.13 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $1,348.96 Median $2,691.53 Typical High $3,548.13 | Professional | QX · CRNA, directed | $1,348.96 | $2,691.53 | $3,548.13 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $1,348.96 Median $2,691.53 Typical High $3,548.13 | Professional | QY · Directing one CRNA | $1,348.96 | $2,691.53 | $3,548.13 |
Where Washington sits
The same service costs 26.9 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· 15th of 51
$3,162
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.