How much rates vary
Facilitymedian $1,318 · 10th to 90th $45 to $3,388Professionalmedian $955 · 10th to 90th $407 to $1,622
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 $1,202.26 Typical High $1,698.24 | Facility | None | $44.67 | $1,202.26 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $1,513.56 | Professional | None | $44.67 | $56.23 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $812.83 Typical High $1,621.81 | Professional | None | $478.63 | $812.83 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,737.80 | Professional | None | $912.01 | $1,202.26 | $1,737.80 |
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 $954.99 Median $1,258.93 Typical High $1,819.70 | Professional | None | $954.99 | $1,258.93 | $1,819.70 |
Select Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,318.26 | $1,819.70 |
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 $1,000.00 Median $1,348.96 Typical High $1,905.46 | Professional | P3 · Severe systemic disease | $1,000.00 | $1,348.96 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $1,047.13 Median $1,412.54 Typical High $1,995.26 | Professional | P4 · Life-threatening disease | $1,047.13 | $1,412.54 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $1,096.48 Median $1,479.11 Typical High $2,089.30 | Professional | P5 · Not expected to survive without surgery | $1,096.48 | $1,479.11 | $2,089.30 |