How much rates vary
Facilitymedian $269 · 10th to 90th $214 to $389Professionalmedian $275 · 10th to 90th $52 to $398
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 $63.10 Median $371.54 Typical High $436.52 | Facility | None | $63.10 | $371.54 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $478.63 | Professional | None | $38.02 | $52.48 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $346.74 | Professional | None | $204.17 | $239.88 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | None | $309.03 | $363.08 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $338.84 Typical High $436.52 | Facility | None | $58.88 | $338.84 | $436.52 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $234.42 Typical High $436.52 | Professional | None | $52.48 | $234.42 | $436.52 |
Pacific Source Setting Facility Modifier None Typical Low $223.87 Median $257.04 Typical High $380.19 | Facility | None | $223.87 | $257.04 | $380.19 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $5,128.61 Typical High $5,128.61 | Facility | None | $457.09 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $239.88 Typical High $354.81 | Professional | None | $70.79 | $239.88 | $354.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $389.05 | Professional | None | $288.40 | $302.00 | $389.05 |
10 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $8.13 | $10.72 | $10.72 |
HealthNet Setting Professional Modifier QZ · CRNA, independent Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | QZ · CRNA, independent | $2.34 | $2.34 | $2.34 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $371.54 Median $436.52 Typical High $512.86 | Professional | P3 · Severe systemic disease | $371.54 | $436.52 | $512.86 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $436.52 Median $501.19 Typical High $602.56 | Professional | P4 · Life-threatening disease | $436.52 | $501.19 | $602.56 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $501.19 Median $575.44 Typical High $691.83 | Professional | P5 · Not expected to survive without surgery | $501.19 | $575.44 | $691.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $9.55 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $204.17 Median $389.05 Typical High $602.56 | Professional | AA · Anesthesiologist | $204.17 | $389.05 | $602.56 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $199.53 Median $251.19 Typical High $426.58 | Professional | P2 · Mild systemic disease | $199.53 | $251.19 | $426.58 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $186.21 Median $257.04 Typical High $660.69 | Professional | P3 · Severe systemic disease | $186.21 | $257.04 | $660.69 |
Moda Health Setting Professional Modifier QZ · CRNA, independent Typical Low $45.71 Median $208.93 Typical High $331.13 | Professional | QZ · CRNA, independent | $45.71 | $208.93 | $331.13 |