How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $2,630Professionalmedian $794 · 10th to 90th $41 to $2,818
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 $2,630.27 | Facility | None | $38.02 | $40.74 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $1,380.38 | Professional | None | $38.02 | $40.74 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $1,621.81 | Professional | None | $724.44 | $794.33 | $1,621.81 |
Blue Shield Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $977.24 | Professional | None | $575.44 | $831.76 | $977.24 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $407.38 | Professional | None | $20.42 | $25.12 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,698.24 | Professional | None | $776.25 | $1,096.48 | $1,698.24 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $489.78 | Professional | None | $245.47 | $363.08 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,949.84 | Professional | None | $457.09 | $758.58 | $1,949.84 |
Lucent Health Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,513.56 | Professional | None | $707.95 | $1,071.52 | $1,513.56 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $89.13 | Professional | None | $38.02 | $50.12 | $89.13 |
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 $380.19 Median $1,148.15 Typical High $2,089.30 | Professional | P3 · Severe systemic disease | $380.19 | $1,148.15 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $380.19 Median $1,202.26 Typical High $2,187.76 | Professional | P4 · Life-threatening disease | $380.19 | $1,202.26 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $380.19 Median $1,258.93 Typical High $2,290.87 | Professional | P5 · Not expected to survive without surgery | $380.19 | $1,258.93 | $2,290.87 |