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 $38.02 Median $40.74 Typical High $691.83 | Professional | None | $38.02 | $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 $19.50 Median $25.12 Typical High $25.12 | Professional | None | $19.50 | $25.12 | $25.12 |
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 $123.03 Median $181.97 Typical High $251.19 | Professional | None | $123.03 | $181.97 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $389.05 Typical High $977.24 | Professional | None | $239.88 | $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 $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | AA · Anesthesiologist | $1,122.02 | $1,122.02 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier P3 · Severe systemic disease Typical Low $165.96 Median $602.56 Typical High $1,096.48 | Professional | P3 · Severe systemic disease | $165.96 | $602.56 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $165.96 Median $660.69 Typical High $1,202.26 | Professional | P4 · Life-threatening disease | $165.96 | $660.69 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $181.97 Median $724.44 Typical High $1,318.26 | Professional | P5 · Not expected to survive without surgery | $181.97 | $724.44 | $1,318.26 |