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 $707.95 Median $707.95 Typical High $1,258.93 | Facility | None | $707.95 | $707.95 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | None | $257.04 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $891.25 | Facility | None | $457.09 | $524.81 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $831.76 | Professional | None | $489.78 | $691.83 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $1,258.93 | Facility | None | $281.84 | $281.84 | $1,258.93 |
Moda Health Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $380.19 | Professional | None | $275.42 | $281.84 | $380.19 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $338.84 | Facility | None | $281.84 | $281.84 | $338.84 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $776.25 | Facility | None | $269.15 | $457.09 | $776.25 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $309.03 Typical High $398.11 | Professional | None | $70.79 | $309.03 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $1,023.29 | Facility | None | $562.34 | $977.24 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $338.84 | Professional | None | $218.78 | $239.88 | $338.84 |
United Setting Facility Modifier None Typical Low $338.84 Median $426.58 Typical High $457.09 | Facility | None | $338.84 | $426.58 | $457.09 |
United Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $338.84 | Professional | None | $117.49 | $117.49 | $338.84 |
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 $109.65 Median $120.23 Typical High $169.82 | Professional | AD · Supervising 5+ | $109.65 | $120.23 | $169.82 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $109.65 Median $120.23 Typical High $169.82 | Professional | QK · Directing 2–4 cases | $109.65 | $120.23 | $169.82 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $109.65 Median $120.23 Typical High $169.82 | Professional | QX · CRNA, directed | $109.65 | $120.23 | $169.82 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $109.65 Median $120.23 Typical High $169.82 | Professional | QY · Directing one CRNA | $109.65 | $120.23 | $169.82 |
Where Oregon sits
The same service costs 12.0 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.
Oregon· 31st of 51
$282
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.