How much rates vary
Facilitymedian $37 · 10th to 90th $18 to $447Professionalmedian $302 · 10th to 90th $30 to $513
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 $288.40 Typical High $446.68 | Facility | None | $30.20 | $288.40 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $426.58 | Professional | None | $30.20 | $37.15 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $6.03 | $7.08 | $8.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | None | $467.74 | $467.74 | $512.86 |
CareFirst Setting Professional Modifier None Typical Low $3.02 Median $3.31 Typical High $4.27 | Professional | None | $3.02 | $3.31 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $354.81 | Professional | None | $194.98 | $263.03 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $354.81 Typical High $426.58 | Professional | None | $208.93 | $354.81 | $426.58 |
Sentara Setting Facility Modifier None Typical Low $14.13 Median $28.18 Typical High $97.72 | Facility | None | $14.13 | $28.18 | $97.72 |
Sentara Setting Professional Modifier None Typical Low $21.38 Median $60.26 Typical High $85.11 | Professional | None | $21.38 | $60.26 | $85.11 |
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 $3.16 Median $3.47 Typical High $3.47 | Professional | NA | $3.16 | $3.47 | $3.47 |