How much rates vary
Facilitymedian $37 · 10th to 90th $20 to $617Professionalmedian $72 · 10th to 90th $30 to $501
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 $426.58 Typical High $616.60 | Facility | None | $30.20 | $426.58 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $602.56 | Professional | None | $30.20 | $37.15 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $549.54 | Professional | None | $478.63 | $478.63 | $549.54 |
CareFirst Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.31 | Professional | None | $3.16 | $3.16 | $3.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $588.84 | Professional | None | $295.12 | $501.19 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $31.62 Typical High $97.72 | Facility | None | $19.05 | $31.62 | $97.72 |
Sentara Setting Professional Modifier None Typical Low $22.91 Median $60.26 Typical High $85.11 | Professional | None | $22.91 | $60.26 | $85.11 |
United Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $77.62 | Professional | None | $44.67 | $57.54 | $77.62 |
1 more rate 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 $3.02 Median $3.47 Typical High $3.47 | Professional | NA | $3.02 | $3.47 | $3.47 |