How much rates vary
Facilitymedian $37 · 10th to 90th $20 to $1,698Professionalmedian $1,288 · 10th to 90th $30 to $1,514
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 $1,148.15 Typical High $1,698.24 | Facility | None | $30.20 | $1,148.15 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $1,659.59 | Professional | None | $30.20 | $37.15 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,288.25 | $1,288.25 | $1,513.56 |
CareFirst Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,621.81 | Professional | None | $891.25 | $1,174.90 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $1,621.81 | Professional | None | $794.33 | $1,348.96 | $1,621.81 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $97.72 | Facility | None | $19.05 | $30.90 | $97.72 |
Sentara Setting Professional Modifier None Typical Low $21.88 Median $64.57 Typical High $87.10 | Professional | None | $21.88 | $64.57 | $87.10 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 |