How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $2,042Professionalmedian $617 · 10th to 90th $41 to $2,188
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 $2,041.74 | Facility | None | $38.02 | $40.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $1,071.52 | Professional | None | $38.02 | $40.74 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $1,288.25 | Professional | None | $562.34 | $616.60 | $1,288.25 |
Blue Shield Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $758.58 | Professional | None | $446.68 | $645.65 | $758.58 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $354.81 | Professional | None | $20.42 | $25.12 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,318.26 | Professional | None | $602.56 | $831.76 | $1,318.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $436.52 | Professional | None | $213.80 | $316.23 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $1,513.56 | Professional | None | $371.54 | $588.84 | $1,513.56 |
Lucent Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Providence Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,174.90 | Professional | None | $549.54 | $831.76 | $1,174.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $89.13 | Professional | None | $38.02 | $50.12 | $89.13 |
3 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $295.12 Median $891.25 Typical High $1,621.81 | Professional | P3 · Severe systemic disease | $295.12 | $891.25 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $295.12 Median $954.99 Typical High $1,737.80 | Professional | P4 · Life-threatening disease | $295.12 | $954.99 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $295.12 Median $1,023.29 Typical High $1,862.09 | Professional | P5 · Not expected to survive without surgery | $295.12 | $1,023.29 | $1,862.09 |