How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $3,020Professionalmedian $912 · 10th to 90th $41 to $3,236
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 $3,019.95 | Facility | None | $38.02 | $40.74 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $1,621.81 | Professional | None | $38.02 | $40.74 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,949.84 | Professional | None | $851.14 | $912.01 | $1,949.84 |
Blue Shield Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,148.15 | Professional | None | $676.08 | $954.99 | $1,148.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $549.54 | Professional | None | $20.42 | $25.12 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,995.26 | Professional | None | $912.01 | $1,288.25 | $1,995.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $645.65 | Professional | None | $323.59 | $467.74 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $891.25 Typical High $2,290.87 | Professional | None | $537.03 | $891.25 | $2,290.87 |
Lucent Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,778.28 | Professional | None | $831.76 | $1,258.93 | $1,778.28 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
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 $436.52 Median $1,318.26 Typical High $2,398.83 | Professional | P3 · Severe systemic disease | $436.52 | $1,318.26 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $436.52 Median $1,380.38 Typical High $2,511.89 | Professional | P4 · Life-threatening disease | $436.52 | $1,380.38 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $436.52 Median $1,445.44 Typical High $2,630.27 | Professional | P5 · Not expected to survive without surgery | $436.52 | $1,445.44 | $2,630.27 |