How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $1,023Professionalmedian $309 · 10th to 90th $41 to $1,660
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 $1,023.29 | Facility | None | $38.02 | $40.74 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $537.03 | Professional | None | $38.02 | $40.74 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $645.65 | Professional | None | $281.84 | $309.03 | $645.65 |
Blue Shield Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $380.19 | Professional | None | $223.87 | $323.59 | $380.19 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $162.18 | Professional | None | $20.42 | $25.12 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $602.56 | Professional | None | $275.42 | $380.19 | $602.56 |
Contra Costa Health Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $218.78 | Professional | None | $107.15 | $158.49 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $758.58 | Professional | None | $208.93 | $309.03 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $1,659.59 Median $3,388.44 Typical High $3,388.44 | Professional | None | $1,659.59 | $3,388.44 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Providence Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $549.54 | Professional | None | $251.19 | $380.19 | $549.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | AA · Anesthesiologist | $3,467.37 | $3,467.37 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $147.91 Median $478.63 Typical High $870.96 | Professional | P3 · Severe systemic disease | $147.91 | $478.63 | $870.96 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $147.91 Median $537.03 Typical High $977.24 | Professional | P4 · Life-threatening disease | $147.91 | $537.03 | $977.24 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $158.49 Median $602.56 Typical High $1,096.48 | Professional | P5 · Not expected to survive without surgery | $158.49 | $602.56 | $1,096.48 |