How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $1,738Professionalmedian $525 · 10th to 90th $41 to $2,884
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 $1,737.80 | Facility | None | $38.02 | $40.74 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $40.74 Typical High $912.01 | Professional | None | $22.91 | $40.74 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $1,122.02 | Professional | None | $478.63 | $524.81 | $1,122.02 |
Blue Shield Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $660.69 | Professional | None | $389.05 | $549.54 | $660.69 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | None | $19.50 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,096.48 | Professional | None | $501.19 | $707.95 | $1,096.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $281.84 | Professional | None | $138.04 | $204.17 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $1,318.26 | Professional | None | $331.13 | $512.86 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $2,884.03 Median $8,511.38 Typical High $8,511.38 | Professional | None | $2,884.03 | $8,511.38 | $8,511.38 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Providence Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $1,000.00 | Professional | None | $457.09 | $707.95 | $1,000.00 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $89.13 | Professional | None | $38.02 | $50.12 | $89.13 |
4 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | QY · Directing one CRNA | $1,548.82 | $1,548.82 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $251.19 Median $776.25 Typical High $1,412.54 | Professional | P3 · Severe systemic disease | $251.19 | $776.25 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $251.19 Median $831.76 Typical High $1,513.56 | Professional | P4 · Life-threatening disease | $251.19 | $831.76 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $251.19 Median $891.25 Typical High $1,621.81 | Professional | P5 · Not expected to survive without surgery | $251.19 | $891.25 | $1,621.81 |