How much rates vary
Facilitymedian $41 · 10th to 90th $38 to $1,288Professionalmedian $389 · 10th to 90th $41 to $2,138
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 $1,288.25 | Facility | None | $38.02 | $40.74 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $40.74 Typical High $691.83 | Professional | None | $22.91 | $40.74 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $831.76 | Professional | None | $363.08 | $389.05 | $831.76 |
Blue Shield Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $489.78 | Professional | None | $288.40 | $416.87 | $489.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $218.78 | Professional | None | $20.42 | $25.12 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $812.83 | Professional | None | $371.54 | $512.86 | $812.83 |
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 $257.04 Median $389.05 Typical High $977.24 | Professional | None | $257.04 | $389.05 | $977.24 |
Lucent Health Setting Professional Modifier None Typical Low $2,137.96 Median $4,677.35 Typical High $4,677.35 | Professional | None | $2,137.96 | $4,677.35 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $741.31 | Professional | None | $338.84 | $512.86 | $741.31 |
Sutter Health Plus Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
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 AA · Anesthesiologist Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | AA · Anesthesiologist | $1,737.80 | $1,737.80 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $190.55 Median $602.56 Typical High $1,096.48 | Professional | P3 · Severe systemic disease | $190.55 | $602.56 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $190.55 Median $660.69 Typical High $1,202.26 | Professional | P4 · Life-threatening disease | $190.55 | $660.69 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $199.53 Median $724.44 Typical High $1,318.26 | Professional | P5 · Not expected to survive without surgery | $199.53 | $724.44 | $1,318.26 |