How much rates vary
Facilitymedian $631 · 10th to 90th $45 to $3,388Professionalmedian $380 · 10th to 90th $45 to $741
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 $44.67 Median $575.44 Typical High $794.33 | Facility | None | $44.67 | $575.44 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $724.44 | Professional | None | $43.65 | $50.12 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $389.05 Typical High $776.25 | Professional | None | $229.09 | $389.05 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $776.25 | Professional | None | $407.38 | $537.03 | $776.25 |
Denver HMP Setting Facility Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $3,630.78 | Facility | None | $1,905.46 | $3,388.44 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $851.14 | Professional | None | $446.68 | $602.56 | $851.14 |
Select Health Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $851.14 | Professional | None | $501.19 | $630.96 | $851.14 |
United Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $95.50 | Professional | None | $39.81 | $66.07 | $95.50 |
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 $501.19 Median $676.08 Typical High $954.99 | Professional | P3 · Severe systemic disease | $501.19 | $676.08 | $954.99 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $549.54 Median $741.31 Typical High $1,047.13 | Professional | P4 · Life-threatening disease | $549.54 | $741.31 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $602.56 Median $812.83 Typical High $1,148.15 | Professional | P5 · Not expected to survive without surgery | $602.56 | $812.83 | $1,148.15 |