How much rates vary
Facilitymedian $661 · 10th to 90th $550 to $933Professionalmedian $646 · 10th to 90th $52 to $977
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 $630.96 Median $891.25 Typical High $1,047.13 | Facility | None | $630.96 | $891.25 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $1,148.15 | Professional | None | $52.48 | $56.23 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $954.99 | Professional | None | $562.34 | $660.69 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,047.13 | Professional | None | $741.31 | $870.96 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,148.15 | Facility | None | $630.96 | $891.25 | $1,148.15 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $630.96 Typical High $1,148.15 | Professional | None | $52.48 | $630.96 | $1,148.15 |
Pacific Source Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $912.01 | Facility | None | $537.03 | $630.96 | $912.01 |
Providence Setting Facility Modifier None Typical Low $1,096.48 Median $5,128.61 Typical High $5,128.61 | Facility | None | $1,096.48 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $660.69 Typical High $954.99 | Professional | None | $70.79 | $660.69 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $933.25 | Professional | None | $691.83 | $724.44 | $933.25 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | None | $51.29 | $64.57 | $87.10 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $8.13 | $10.72 | $10.72 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $812.83 Median $933.25 Typical High $1,122.02 | Professional | P3 · Severe systemic disease | $812.83 | $933.25 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $870.96 Median $1,000.00 Typical High $1,202.26 | Professional | P4 · Life-threatening disease | $870.96 | $1,000.00 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $933.25 Median $1,071.52 Typical High $1,288.25 | Professional | P5 · Not expected to survive without surgery | $933.25 | $1,071.52 | $1,288.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $9.55 | $10.72 | $10.72 |