How much rates vary
Facilitymedian $407 · 10th to 90th $331 to $617Professionalmedian $355 · 10th to 90th $52 to $562
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 $371.54 Median $524.81 Typical High $616.60 | Facility | None | $371.54 | $524.81 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $660.69 | Professional | None | $38.02 | $52.48 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $512.86 | Professional | None | $309.03 | $363.08 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $602.56 | Professional | None | $436.52 | $501.19 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $676.08 | Facility | None | $371.54 | $524.81 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $354.81 Typical High $616.60 | Professional | None | $52.48 | $354.81 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $524.81 | Facility | None | $331.13 | $363.08 | $524.81 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $5,128.61 Typical High $5,128.61 | Facility | None | $630.96 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $363.08 Typical High $524.81 | Professional | None | $70.79 | $363.08 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $549.54 | Professional | None | $407.38 | $426.58 | $549.54 |
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 $501.19 Median $575.44 Typical High $691.83 | Professional | P3 · Severe systemic disease | $501.19 | $575.44 | $691.83 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $562.34 Median $645.65 Typical High $776.25 | Professional | P4 · Life-threatening disease | $562.34 | $645.65 | $776.25 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $616.60 Median $724.44 Typical High $870.96 | Professional | P5 · Not expected to survive without surgery | $616.60 | $724.44 | $870.96 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $199.53 Median $213.80 Typical High $275.42 | Professional | AD · Supervising 5+ | $199.53 | $213.80 | $275.42 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $199.53 Median $213.80 Typical High $275.42 | Professional | QK · Directing 2–4 cases | $199.53 | $213.80 | $275.42 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $199.53 Median $213.80 Typical High $275.42 | Professional | QX · CRNA, directed | $199.53 | $213.80 | $275.42 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $199.53 Median $213.80 Typical High $275.42 | Professional | QY · Directing one CRNA | $199.53 | $213.80 | $275.42 |