How much rates vary
Facilitymedian $417 · 10th to 90th $372 to $646Professionalmedian $398 · 10th to 90th $52 to $646
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 $107.15 Median $602.56 Typical High $707.95 | Facility | None | $107.15 | $602.56 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $758.58 | Professional | None | $38.02 | $52.48 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $602.56 | Professional | None | $354.81 | $416.87 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $691.83 | Professional | None | $501.19 | $575.44 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $602.56 Typical High $776.25 | Facility | None | $107.15 | $602.56 | $776.25 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $380.19 Typical High $707.95 | Professional | None | $52.48 | $380.19 | $707.95 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $616.60 | Facility | None | $371.54 | $416.87 | $616.60 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $5,128.61 Typical High $5,128.61 | Facility | None | $724.44 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $416.87 Typical High $602.56 | Professional | None | $70.79 | $416.87 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $630.96 | Professional | None | $457.09 | $489.78 | $630.96 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | None | $51.29 | $64.57 | $87.10 |
7 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 $562.34 Median $645.65 Typical High $776.25 | Professional | P3 · Severe systemic disease | $562.34 | $645.65 | $776.25 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $616.60 Median $724.44 Typical High $870.96 | Professional | P4 · Life-threatening disease | $616.60 | $724.44 | $870.96 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $676.08 Median $794.33 Typical High $954.99 | Professional | P5 · Not expected to survive without surgery | $676.08 | $794.33 | $954.99 |
Moda Health Setting Facility Modifier QZ · CRNA, independent Typical Low $16.60 Median $21.38 Typical High $22.39 | Facility | QZ · CRNA, independent | $16.60 | $21.38 | $22.39 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $114.82 Median $199.53 Typical High $354.81 | Professional | AA · Anesthesiologist | $114.82 | $199.53 | $354.81 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $109.65 Median $154.88 Typical High $346.74 | Professional | P2 · Mild systemic disease | $109.65 | $154.88 | $346.74 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $87.10 Median $138.04 Typical High $257.04 | Professional | P3 · Severe systemic disease | $87.10 | $138.04 | $257.04 |