How much rates vary
Facilitymedian $813 · 10th to 90th $631 to $1,122Professionalmedian $759 · 10th to 90th $52 to $1,148
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 $741.31 Median $1,047.13 Typical High $1,230.27 | Facility | None | $741.31 | $1,047.13 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $1,318.26 | Professional | None | $52.48 | $52.48 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,122.02 | Professional | None | $660.69 | $776.25 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,202.26 | Professional | None | $870.96 | $1,000.00 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,348.96 | Facility | None | $741.31 | $1,047.13 | $1,348.96 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $741.31 Typical High $1,318.26 | Professional | None | $52.48 | $741.31 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $1,071.52 | Facility | None | $630.96 | $758.58 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $1,258.93 Median $5,128.61 Typical High $5,128.61 | Facility | None | $1,258.93 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $776.25 Typical High $1,122.02 | Professional | None | $70.79 | $776.25 | $1,122.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,096.48 | Professional | None | $812.83 | $851.14 | $1,096.48 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | None | $51.29 | $64.57 | $87.10 |
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 $933.25 Median $1,071.52 Typical High $1,288.25 | Professional | P3 · Severe systemic disease | $933.25 | $1,071.52 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $1,000.00 Median $1,148.15 Typical High $1,380.38 | Professional | P4 · Life-threatening disease | $1,000.00 | $1,148.15 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $1,047.13 Median $1,230.27 Typical High $1,479.11 | Professional | P5 · Not expected to survive without surgery | $1,047.13 | $1,230.27 | $1,479.11 |