How much rates vary
Facilitymedian $1,259 · 10th to 90th $45 to $3,388Professionalmedian $759 · 10th to 90th $47 to $1,479
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 $1,148.15 Typical High $1,584.89 | Facility | None | $44.67 | $1,148.15 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $1,445.44 | Professional | None | $44.67 | $56.23 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $776.25 Typical High $1,548.82 | Professional | None | $457.09 | $776.25 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,659.59 | Professional | None | $870.96 | $1,148.15 | $1,659.59 |
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 $891.25 Median $1,202.26 Typical High $1,698.24 | Professional | None | $891.25 | $1,202.26 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,258.93 | $1,698.24 |
United Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $95.50 | Professional | None | $39.81 | $66.07 | $95.50 |
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 $954.99 Median $1,258.93 Typical High $1,819.70 | Professional | P3 · Severe systemic disease | $954.99 | $1,258.93 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $1,000.00 Median $1,348.96 Typical High $1,905.46 | Professional | P4 · Life-threatening disease | $1,000.00 | $1,348.96 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $1,047.13 Median $1,412.54 Typical High $1,995.26 | Professional | P5 · Not expected to survive without surgery | $1,047.13 | $1,412.54 | $1,995.26 |