How much rates vary
Facilitymedian $347 · 10th to 90th $282 to $479Professionalmedian $331 · 10th to 90th $52 to $479
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 $446.68 Typical High $524.81 | Facility | None | $63.10 | $446.68 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $575.44 | Professional | None | $38.02 | $52.48 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $426.58 | Professional | None | $257.04 | $302.00 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $512.86 | Professional | None | $371.54 | $436.52 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $446.68 Typical High $575.44 | Facility | None | $63.10 | $446.68 | $575.44 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $281.84 Typical High $524.81 | Professional | None | $52.48 | $281.84 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $467.74 | Facility | None | $281.84 | $338.84 | $467.74 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $5,128.61 Typical High $5,128.61 | Facility | None | $549.54 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $302.00 Typical High $436.52 | Professional | None | $70.79 | $302.00 | $436.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $467.74 | Professional | None | $346.74 | $363.08 | $467.74 |
9 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 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $436.52 Median $501.19 Typical High $602.56 | Professional | P3 · Severe systemic disease | $436.52 | $501.19 | $602.56 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $501.19 Median $575.44 Typical High $691.83 | Professional | P4 · Life-threatening disease | $501.19 | $575.44 | $691.83 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $562.34 Median $645.65 Typical High $776.25 | Professional | P5 · Not expected to survive without surgery | $562.34 | $645.65 | $776.25 |
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 $75.86 Median $257.04 Typical High $524.81 | Professional | AA · Anesthesiologist | $75.86 | $257.04 | $524.81 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $138.04 Median $245.47 Typical High $478.63 | Professional | P2 · Mild systemic disease | $138.04 | $245.47 | $478.63 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $138.04 Median $194.98 Typical High $489.78 | Professional | P3 · Severe systemic disease | $138.04 | $194.98 | $489.78 |
Moda Health Setting Professional Modifier QS · Monitored anesthesia care Typical Low $169.82 Median $223.87 Typical High $288.40 | Professional | QS · Monitored anesthesia care | $169.82 | $223.87 | $288.40 |