How much rates vary
Facilitymedian $363 · 10th to 90th $282 to $525Professionalmedian $302 · 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 $316.23 Median $446.68 Typical High $524.81 | Facility | None | $316.23 | $446.68 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $575.44 | Professional | None | $50.12 | $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 $316.23 Median $446.68 Typical High $575.44 | Facility | None | $316.23 | $446.68 | $575.44 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $316.23 Typical High $575.44 | Professional | None | $52.48 | $316.23 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $263.03 Median $323.59 Typical High $446.68 | Facility | None | $263.03 | $323.59 | $446.68 |
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 |
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 $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 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $173.78 Median $181.97 Typical High $234.42 | Professional | AD · Supervising 5+ | $173.78 | $181.97 | $234.42 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $173.78 Median $181.97 Typical High $234.42 | Professional | QK · Directing 2–4 cases | $173.78 | $181.97 | $234.42 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $173.78 Median $181.97 Typical High $234.42 | Professional | QX · CRNA, directed | $173.78 | $181.97 | $234.42 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $173.78 Median $181.97 Typical High $234.42 | Professional | QY · Directing one CRNA | $173.78 | $181.97 | $234.42 |