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 $354.81 Typical High $371.54 | Facility | None | $50.12 | $354.81 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $354.81 | Professional | None | $40.74 | $50.12 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $269.15 Median $1,202.26 Typical High $2,398.83 | Professional | None | $269.15 | $1,202.26 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier AD · Supervising 5+ Typical Low $128.82 Median $134.90 Typical High $190.55 | Professional | AD · Supervising 5+ | $128.82 | $134.90 | $190.55 |
Asuris Northwest Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | QK · Directing 2–4 cases | $134.90 | $134.90 | $190.55 |
Asuris Northwest Health Setting Professional Modifier QX · CRNA, directed Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | QX · CRNA, directed | $134.90 | $134.90 | $190.55 |
Asuris Northwest Health Setting Professional Modifier QY · Directing one CRNA Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | QY · Directing one CRNA | $134.90 | $134.90 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $346.74 | Professional | None | $204.17 | $218.78 | $346.74 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $93.33 | Professional | None | $46.77 | $75.86 | $93.33 |
Pacific Source Setting Facility Modifier None Typical Low $75.86 Median $257.04 Typical High $331.13 | Facility | None | $75.86 | $257.04 | $331.13 |
Premera BCBS Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | None | $213.80 | $213.80 | $309.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $389.05 | Professional | None | $269.15 | $269.15 | $389.05 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | AD · Supervising 5+ | $134.90 | $134.90 | $194.98 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | QK · Directing 2–4 cases | $134.90 | $134.90 | $194.98 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | QX · CRNA, directed | $134.90 | $134.90 | $194.98 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | QY · Directing one CRNA | $134.90 | $134.90 | $194.98 |
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 $3.98 Median $81.28 Typical High $81.28 | Professional | None | $3.98 | $81.28 | $81.28 |
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 AA · Anesthesiologist Typical Low $239.88 Median $309.03 Typical High $645.65 | Professional | AA · Anesthesiologist | $239.88 | $309.03 | $645.65 |