How much rates vary
Facilitymedian $214 · 10th to 90th $24 to $589Professionalmedian $91 · 10th to 90th $30 to $437
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 $30.20 Median $363.08 Typical High $537.03 | Facility | None | $30.20 | $363.08 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $512.86 | Professional | None | $30.20 | $37.15 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $467.74 | Professional | None | $407.38 | $407.38 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $3.47 | Professional | None | $3.02 | $3.47 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $446.68 | Professional | None | $245.47 | $331.13 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $512.86 | Professional | None | $251.19 | $426.58 | $512.86 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $194.98 Typical High $660.69 | Facility | None | $23.44 | $194.98 | $660.69 |
Sentara Setting Professional Modifier None Typical Low $23.99 Median $64.57 Typical High $380.19 | Professional | None | $23.99 | $64.57 | $380.19 |
United Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $77.62 | Professional | None | $44.67 | $57.54 | $77.62 |
2 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 |
|---|---|---|---|---|---|
CareFirst Setting Professional Modifier NA Typical Low $3.16 Median $3.16 Typical High $4.47 | Professional | NA | $3.16 | $3.16 | $4.47 |
Sentara Setting Professional Modifier QS · Monitored anesthesia care Typical Low $64.57 Median $302.00 Typical High $354.81 | Professional | QS · Monitored anesthesia care | $64.57 | $302.00 | $354.81 |