How much rates vary
Facilitymedian $37 · 10th to 90th $20 to $355Professionalmedian $91 · 10th to 90th $30 to $288
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 $245.47 Typical High $354.81 | Facility | None | $30.20 | $245.47 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $338.84 | Professional | None | $30.20 | $37.15 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
CareFirst Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.47 | Professional | None | $3.31 | $3.31 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $269.15 | Professional | None | $147.91 | $199.53 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $338.84 | Professional | None | $169.82 | $281.84 | $338.84 |
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 $3.16 Typical High $3.47 | Professional | NA | $3.02 | $3.16 | $3.47 |