How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $1,148Professionalmedian $355 · 10th to 90th $41 to $1,905
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 $1,148.15 | Facility | None | $38.02 | $40.74 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $616.60 | Professional | None | $38.02 | $40.74 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $741.31 | Professional | None | $323.59 | $346.74 | $741.31 |
Blue Shield Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $436.52 | Professional | None | $257.04 | $363.08 | $436.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $190.55 | Professional | None | $20.42 | $25.12 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $707.95 | Professional | None | $323.59 | $446.68 | $707.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $251.19 | Professional | None | $123.03 | $181.97 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $870.96 | Professional | None | $239.88 | $354.81 | $870.96 |
Lucent Health Setting Professional Modifier None Typical Low $1,905.46 Median $3,801.89 Typical High $3,801.89 | Professional | None | $1,905.46 | $3,801.89 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Providence Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $645.65 | Professional | None | $295.12 | $446.68 | $645.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $165.96 Median $537.03 Typical High $977.24 | Professional | P3 · Severe systemic disease | $165.96 | $537.03 | $977.24 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $165.96 Median $602.56 Typical High $1,096.48 | Professional | P4 · Life-threatening disease | $165.96 | $602.56 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $181.97 Median $660.69 Typical High $1,202.26 | Professional | P5 · Not expected to survive without surgery | $181.97 | $660.69 | $1,202.26 |