How much rates vary
Facilitymedian $661 · 10th to 90th $513 to $977Professionalmedian $575 · 10th to 90th $52 to $891
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 $575.44 Median $812.83 Typical High $977.24 | Facility | None | $575.44 | $812.83 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $1,047.13 | Professional | None | $38.02 | $52.48 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $870.96 | Professional | None | $512.86 | $602.56 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $954.99 | Professional | None | $676.08 | $794.33 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $575.44 Median $812.83 Typical High $1,071.52 | Facility | None | $575.44 | $812.83 | $1,071.52 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $575.44 Typical High $1,000.00 | Professional | None | $52.48 | $575.44 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $630.96 Typical High $831.76 | Facility | None | $512.86 | $630.96 | $831.76 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $5,128.61 Typical High $5,128.61 | Facility | None | $1,000.00 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $602.56 Typical High $870.96 | Professional | None | $70.79 | $602.56 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $851.14 | Professional | None | $630.96 | $660.69 | $851.14 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | None | $51.29 | $64.57 | $87.10 |
8 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 $741.31 Median $870.96 Typical High $1,047.13 | Professional | P3 · Severe systemic disease | $741.31 | $870.96 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier P4 · Life-threatening disease Typical Low $812.83 Median $933.25 Typical High $1,122.02 | Professional | P4 · Life-threatening disease | $812.83 | $933.25 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $870.96 Median $1,000.00 Typical High $1,202.26 | Professional | P5 · Not expected to survive without surgery | $870.96 | $1,000.00 | $1,202.26 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $123.03 Median $141.25 Typical High $229.09 | Professional | P3 · Severe systemic disease | $123.03 | $141.25 | $229.09 |
Regence BlueShield Setting Professional Modifier AD · Supervising 5+ Typical Low $316.23 Median $331.13 Typical High $426.58 | Professional | AD · Supervising 5+ | $316.23 | $331.13 | $426.58 |
Regence BlueShield Setting Professional Modifier QK · Directing 2–4 cases Typical Low $316.23 Median $331.13 Typical High $426.58 | Professional | QK · Directing 2–4 cases | $316.23 | $331.13 | $426.58 |
Regence BlueShield Setting Professional Modifier QX · CRNA, directed Typical Low $316.23 Median $331.13 Typical High $426.58 | Professional | QX · CRNA, directed | $316.23 | $331.13 | $426.58 |
Regence BlueShield Setting Professional Modifier QY · Directing one CRNA Typical Low $316.23 Median $331.13 Typical High $426.58 | Professional | QY · Directing one CRNA | $316.23 | $331.13 | $426.58 |