How much rates vary
Facilitymedian $759 · 10th to 90th $646 to $1,122Professionalmedian $741 · 10th to 90th $52 to $1,148
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $741.31 Median $1,047.13 Typical High $1,230.27 | Facility | None | $741.31 | $1,047.13 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $1,318.26 | Professional | None | $38.02 | $52.48 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,122.02 | Professional | None | $660.69 | $776.25 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,202.26 | Professional | None | $870.96 | $1,000.00 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,348.96 | Facility | None | $741.31 | $1,047.13 | $1,348.96 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $691.83 Typical High $1,258.93 | Professional | None | $52.48 | $691.83 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $1,071.52 | Facility | None | $645.65 | $724.44 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $1,258.93 Median $5,128.61 Typical High $5,128.61 | Facility | None | $1,258.93 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $776.25 Typical High $1,122.02 | Professional | None | $70.79 | $776.25 | $1,122.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,096.48 | Professional | None | $812.83 | $851.14 | $1,096.48 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | None | $51.29 | $64.57 | $87.10 |
6 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 $933.25 Median $1,071.52 Typical High $1,288.25 | Professional | P3 · Severe systemic disease | $933.25 | $1,071.52 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $1,000.00 Median $1,148.15 Typical High $1,380.38 | Professional | P4 · Life-threatening disease | $1,000.00 | $1,148.15 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $1,047.13 Median $1,230.27 Typical High $1,479.11 | Professional | P5 · Not expected to survive without surgery | $1,047.13 | $1,230.27 | $1,479.11 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $93.33 Median $177.83 Typical High $416.87 | Professional | AA · Anesthesiologist | $93.33 | $177.83 | $416.87 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $100.00 Median $154.88 Typical High $436.52 | Professional | P2 · Mild systemic disease | $100.00 | $154.88 | $436.52 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $64.57 Median $138.04 Typical High $204.17 | Professional | P3 · Severe systemic disease | $64.57 | $138.04 | $204.17 |