How much rates vary
Facilitymedian $977 · 10th to 90th $45 to $3,388Professionalmedian $589 · 10th to 90th $47 to $1,148
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 $44.67 Median $891.25 Typical High $1,258.93 | Facility | None | $44.67 | $891.25 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $1,122.02 | Professional | None | $44.67 | $56.23 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $1,202.26 | Professional | None | $354.81 | $602.56 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $1,258.93 | Professional | None | $660.69 | $870.96 | $1,258.93 |
Denver HMP Setting Facility Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $3,630.78 | Facility | None | $1,905.46 | $3,388.44 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,318.26 | Professional | None | $707.95 | $933.25 | $1,318.26 |
Select Health Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,318.26 | Professional | None | $776.25 | $977.24 | $1,318.26 |
United Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $95.50 | Professional | None | $39.81 | $66.07 | $95.50 |
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 $758.58 Median $1,000.00 Typical High $1,412.54 | Professional | P3 · Severe systemic disease | $758.58 | $1,000.00 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $794.33 Median $1,071.52 Typical High $1,513.56 | Professional | P4 · Life-threatening disease | $794.33 | $1,071.52 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $851.14 Median $1,148.15 Typical High $1,621.81 | Professional | P5 · Not expected to survive without surgery | $851.14 | $1,148.15 | $1,621.81 |