How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $2,291Professionalmedian $692 · 10th to 90th $41 to $2,512
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 $2,290.87 | Facility | None | $38.02 | $40.74 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $1,230.27 | Professional | None | $38.02 | $40.74 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $1,479.11 | Professional | None | $645.65 | $691.83 | $1,479.11 |
Blue Shield Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $870.96 | Professional | None | $512.86 | $741.31 | $870.96 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $407.38 | Professional | None | $20.42 | $25.12 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,513.56 | Professional | None | $691.83 | $954.99 | $1,513.56 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $489.78 | Professional | None | $245.47 | $363.08 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,737.80 | Professional | None | $407.38 | $676.08 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $1,348.96 | Professional | None | $630.96 | $954.99 | $1,348.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $89.13 | Professional | None | $38.02 | $50.12 | $89.13 |
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 $338.84 Median $1,023.29 Typical High $1,862.09 | Professional | P3 · Severe systemic disease | $338.84 | $1,023.29 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $338.84 Median $1,071.52 Typical High $1,949.84 | Professional | P4 · Life-threatening disease | $338.84 | $1,071.52 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $338.84 Median $1,148.15 Typical High $2,089.30 | Professional | P5 · Not expected to survive without surgery | $338.84 | $1,148.15 | $2,089.30 |