How much rates vary
Facilitymedian $1,479 · 10th to 90th $1,479 to $1,479Professionalmedian $47 · 10th to 90th $3 to $1,175
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,348.96 | Professional | None | $30.20 | $30.20 | $1,348.96 |
CareFirst Setting Professional Modifier None Typical Low $3.16 Median $3.31 Typical High $4.17 | Professional | None | $3.16 | $3.31 | $4.17 |
CareFirst Setting Professional Modifier NA Typical Low $2.95 Median $3.09 Typical High $4.68 | Professional | NA | $2.95 | $3.09 | $4.68 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,621.81 | Professional | None | $707.95 | $1,096.48 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $1,122.02 Typical High $1,548.82 | Professional | None | $588.84 | $1,122.02 | $1,548.82 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $89.13 | Professional | None | $44.67 | $54.95 | $89.13 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
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 $630.96 Median $1,174.90 Typical High $1,621.81 | Professional | P3 · Severe systemic disease | $630.96 | $1,174.90 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $660.69 Median $1,230.27 Typical High $1,698.24 | Professional | P4 · Life-threatening disease | $660.69 | $1,230.27 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $691.83 Median $1,288.25 Typical High $1,778.28 | Professional | P5 · Not expected to survive without surgery | $691.83 | $1,288.25 | $1,778.28 |