How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $3,715Professionalmedian $1,148 · 10th to 90th $41 to $3,981
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 $3,715.35 | Facility | None | $38.02 | $40.74 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $1,995.26 | Professional | None | $38.02 | $41.69 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,148.15 | $2,344.23 |
Blue Shield Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,412.54 | Professional | None | $831.76 | $1,202.26 | $1,412.54 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | None | $19.50 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,584.89 | $2,511.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $794.33 | Professional | None | $398.11 | $588.84 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $2,818.38 | Professional | None | $645.65 | $1,096.48 | $2,818.38 |
Lucent Health Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Providence Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,584.89 | $2,238.72 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $549.54 Median $1,621.81 Typical High $2,951.21 | Professional | P3 · Severe systemic disease | $549.54 | $1,621.81 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $549.54 Median $1,698.24 Typical High $3,019.95 | Professional | P4 · Life-threatening disease | $549.54 | $1,698.24 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $549.54 Median $1,737.80 Typical High $3,162.28 | Professional | P5 · Not expected to survive without surgery | $549.54 | $1,737.80 | $3,162.28 |