How much rates vary
Facilitymedian $1,072 · 10th to 90th $851 to $1,479Professionalmedian $1,096 · 10th to 90th $52 to $1,585
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 $1,000.00 Median $1,412.54 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,412.54 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $1,819.70 | Professional | None | $52.48 | $52.48 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,548.82 | Professional | None | $912.01 | $1,071.52 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,380.38 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $1,819.70 | Facility | None | $1,000.00 | $1,412.54 | $1,819.70 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $1,000.00 Typical High $1,819.70 | Professional | None | $52.48 | $1,000.00 | $1,819.70 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $1,445.44 | Facility | None | $851.14 | $977.24 | $1,445.44 |
Providence Setting Facility Modifier None Typical Low $1,737.80 Median $5,128.61 Typical High $5,128.61 | Facility | None | $1,737.80 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $1,071.52 Typical High $1,548.82 | Professional | None | $70.79 | $1,071.52 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,148.15 | $1,479.11 |
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 $1,230.27 Median $1,445.44 Typical High $1,737.80 | Professional | P3 · Severe systemic disease | $1,230.27 | $1,445.44 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $1,288.25 Median $1,513.56 Typical High $1,819.70 | Professional | P4 · Life-threatening disease | $1,288.25 | $1,513.56 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $1,348.96 Median $1,584.89 Typical High $1,905.46 | Professional | P5 · Not expected to survive without surgery | $1,348.96 | $1,584.89 | $1,905.46 |