How much rates vary
Facilitymedian $457 · 10th to 90th $372 to $631Professionalmedian $417 · 10th to 90th $52 to $646
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 $416.87 Median $602.56 Typical High $707.95 | Facility | None | $416.87 | $602.56 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $758.58 | Professional | None | $52.48 | $52.48 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $602.56 | Professional | None | $354.81 | $416.87 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $691.83 | Professional | None | $501.19 | $575.44 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $776.25 | Facility | None | $416.87 | $602.56 | $776.25 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $426.58 Typical High $758.58 | Professional | None | $52.48 | $426.58 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $602.56 | Facility | None | $363.08 | $436.52 | $602.56 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $5,128.61 Typical High $5,128.61 | Facility | None | $724.44 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $416.87 Typical High $602.56 | Professional | None | $70.79 | $416.87 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $630.96 | Professional | None | $457.09 | $489.78 | $630.96 |
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 $562.34 Median $645.65 Typical High $776.25 | Professional | P3 · Severe systemic disease | $562.34 | $645.65 | $776.25 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $616.60 Median $724.44 Typical High $870.96 | Professional | P4 · Life-threatening disease | $616.60 | $724.44 | $870.96 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $676.08 Median $794.33 Typical High $954.99 | Professional | P5 · Not expected to survive without surgery | $676.08 | $794.33 | $954.99 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $229.09 Median $239.88 Typical High $309.03 | Professional | AD · Supervising 5+ | $229.09 | $239.88 | $309.03 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $229.09 Median $239.88 Typical High $309.03 | Professional | QK · Directing 2–4 cases | $229.09 | $239.88 | $309.03 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $229.09 Median $239.88 Typical High $309.03 | Professional | QX · CRNA, directed | $229.09 | $239.88 | $309.03 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $229.09 Median $239.88 Typical High $309.03 | Professional | QY · Directing one CRNA | $229.09 | $239.88 | $309.03 |