How much rates vary
Facilitymedian $30 · 10th to 90th $30 to $550Professionalmedian $47 · 10th to 90th $3 to $355
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 $30.20 Median $30.20 Typical High $549.54 | Facility | None | $30.20 | $30.20 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $389.05 | Professional | None | $30.20 | $30.20 | $389.05 |
CareFirst Setting Professional Modifier None Typical Low $3.16 Median $3.31 Typical High $3.47 | Professional | None | $3.16 | $3.31 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $457.09 | Professional | None | $181.97 | $288.40 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $354.81 Typical High $380.19 | Professional | None | $208.93 | $354.81 | $380.19 |
United Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $107.15 | Professional | None | $44.67 | $70.79 | $107.15 |
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 $3.98 Typical High $6.92 | Professional | NA | $3.02 | $3.98 | $6.92 |