How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,549 to $1,549Professionalmedian $30 · 10th to 90th $3 to $1,413
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,412.54 | Professional | None | $30.20 | $30.20 | $1,412.54 |
CareFirst Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $4.07 | Professional | None | $2.95 | $3.09 | $4.07 |
CareFirst Setting Professional Modifier NA Typical Low $3.02 Median $3.31 Typical High $4.79 | Professional | NA | $3.02 | $3.31 | $4.79 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,737.80 | Professional | None | $758.58 | $1,174.90 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $1,174.90 Typical High $1,621.81 | Professional | None | $630.96 | $1,174.90 | $1,621.81 |
United Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
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 $660.69 Median $1,230.27 Typical High $1,698.24 | Professional | P3 · Severe systemic disease | $660.69 | $1,230.27 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $691.83 Median $1,288.25 Typical High $1,778.28 | Professional | P4 · Life-threatening disease | $691.83 | $1,288.25 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $724.44 Median $1,348.96 Typical High $1,862.09 | Professional | P5 · Not expected to survive without surgery | $724.44 | $1,348.96 | $1,862.09 |