How much rates vary
Facilitymedian $513 · 10th to 90th $407 to $708Professionalmedian $479 · 10th to 90th $52 to $724
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 $467.74 Median $676.08 Typical High $794.33 | Facility | None | $467.74 | $676.08 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $851.14 | Professional | None | $50.12 | $52.48 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $691.83 | Professional | None | $407.38 | $478.63 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $776.25 | Professional | None | $562.34 | $645.65 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $870.96 | Facility | None | $467.74 | $676.08 | $870.96 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $478.63 Typical High $831.76 | Professional | None | $52.48 | $478.63 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $407.38 Median $489.78 Typical High $691.83 | Facility | None | $407.38 | $489.78 | $691.83 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $5,128.61 Typical High $5,128.61 | Facility | None | $812.83 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $478.63 Typical High $691.83 | Professional | None | $70.79 | $478.63 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $707.95 | Professional | None | $512.86 | $549.54 | $707.95 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | None | $51.29 | $64.57 | $87.10 |
7 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 $616.60 Median $724.44 Typical High $870.96 | Professional | P3 · Severe systemic disease | $616.60 | $724.44 | $870.96 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $676.08 Median $794.33 Typical High $954.99 | Professional | P4 · Life-threatening disease | $676.08 | $794.33 | $954.99 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $741.31 Median $870.96 Typical High $1,047.13 | Professional | P5 · Not expected to survive without surgery | $741.31 | $870.96 | $1,047.13 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $257.04 Median $275.42 Typical High $354.81 | Professional | AD · Supervising 5+ | $257.04 | $275.42 | $354.81 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $257.04 Median $275.42 Typical High $354.81 | Professional | QK · Directing 2–4 cases | $257.04 | $275.42 | $354.81 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $257.04 Median $275.42 Typical High $354.81 | Professional | QX · CRNA, directed | $257.04 | $275.42 | $354.81 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $257.04 Median $275.42 Typical High $354.81 | Professional | QY · Directing one CRNA | $257.04 | $275.42 | $354.81 |