How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $1,445Professionalmedian $437 · 10th to 90th $41 to $2,399
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 $38.02 Median $40.74 Typical High $1,445.44 | Facility | None | $38.02 | $40.74 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $40.74 Typical High $776.25 | Professional | None | $22.91 | $40.74 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $933.25 | Professional | None | $398.11 | $436.52 | $933.25 |
Blue Shield Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $549.54 | Professional | None | $323.59 | $457.09 | $549.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $245.47 | Professional | None | $20.42 | $25.12 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $912.01 | Professional | None | $416.87 | $575.44 | $912.01 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $309.03 | Professional | None | $154.88 | $223.87 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $1,096.48 | Professional | None | $275.42 | $426.58 | $1,096.48 |
Lucent Health Setting Professional Modifier None Typical Low $2,398.83 Median $5,888.44 Typical High $5,888.44 | Professional | None | $2,398.83 | $5,888.44 | $5,888.44 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $831.76 | Professional | None | $380.19 | $575.44 | $831.76 |
Sutter Health Plus Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $89.13 | Professional | None | $38.02 | $50.12 | $89.13 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | AA · Anesthesiologist | $380.19 | $380.19 | $380.19 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $208.93 Median $660.69 Typical High $1,202.26 | Professional | P3 · Severe systemic disease | $208.93 | $660.69 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $208.93 Median $724.44 Typical High $1,318.26 | Professional | P4 · Life-threatening disease | $208.93 | $724.44 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $213.80 Median $776.25 Typical High $1,412.54 | Professional | P5 · Not expected to survive without surgery | $213.80 | $776.25 | $1,412.54 |