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 $562.34 Typical High $602.56 | Facility | None | $50.12 | $562.34 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $562.34 | Professional | None | $40.74 | $50.12 | $562.34 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $426.58 Median $1,905.46 Typical High $3,801.89 | Professional | None | $426.58 | $1,905.46 | $3,801.89 |
Asuris Northwest Health Setting Professional Modifier AD · Supervising 5+ Typical Low $204.17 Median $213.80 Typical High $309.03 | Professional | AD · Supervising 5+ | $204.17 | $213.80 | $309.03 |
Asuris Northwest Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | QK · Directing 2–4 cases | $213.80 | $213.80 | $309.03 |
Asuris Northwest Health Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | QX · CRNA, directed | $213.80 | $213.80 | $309.03 |
Asuris Northwest Health Setting Professional Modifier QY · Directing one CRNA Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | QY · Directing one CRNA | $213.80 | $213.80 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $616.60 | Professional | None | $354.81 | $389.05 | $616.60 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $162.18 | Professional | None | $74.13 | $81.28 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $416.87 Typical High $524.81 | Facility | None | $131.83 | $416.87 | $524.81 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $537.03 | Professional | None | $371.54 | $371.54 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $630.96 | Professional | None | $426.58 | $426.58 | $630.96 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | AD · Supervising 5+ | $213.80 | $213.80 | $309.03 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | QK · Directing 2–4 cases | $213.80 | $213.80 | $309.03 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | QX · CRNA, directed | $213.80 | $213.80 | $309.03 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | QY · Directing one CRNA | $213.80 | $213.80 | $309.03 |
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 $7.08 Median $144.54 Typical High $144.54 | Professional | None | $7.08 | $144.54 | $144.54 |
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 $245.47 Median $245.47 Typical High $331.13 | Professional | QZ · CRNA, independent | $245.47 | $245.47 | $331.13 |