How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $1,585Professionalmedian $479 · 10th to 90th $41 to $2,630
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 $1,584.89 | Facility | None | $38.02 | $40.74 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $851.14 | Professional | None | $26.92 | $40.74 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $1,023.29 | Professional | None | $446.68 | $478.63 | $1,023.29 |
Blue Shield Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $602.56 | Professional | None | $354.81 | $501.19 | $602.56 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $269.15 | Professional | None | $20.42 | $25.12 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,000.00 | Professional | None | $457.09 | $645.65 | $1,000.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $338.84 | Professional | None | $169.82 | $245.47 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $1,202.26 | Professional | None | $302.00 | $467.74 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $2,630.27 Median $7,079.46 Typical High $7,079.46 | Professional | None | $2,630.27 | $7,079.46 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Providence Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $912.01 | Professional | None | $416.87 | $630.96 | $912.01 |
Sutter Health Plus Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $229.09 Median $724.44 Typical High $1,318.26 | Professional | P3 · Severe systemic disease | $229.09 | $724.44 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $229.09 Median $776.25 Typical High $1,412.54 | Professional | P4 · Life-threatening disease | $229.09 | $776.25 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $229.09 Median $831.76 Typical High $1,513.56 | Professional | P5 · Not expected to survive without surgery | $229.09 | $831.76 | $1,513.56 |