How much rates vary
Facilitymedian $37 · 10th to 90th $20 to $794Professionalmedian $112 · 10th to 90th $30 to $661
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 $549.54 Typical High $794.33 | Facility | None | $30.20 | $549.54 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $758.58 | Professional | None | $30.20 | $37.15 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $707.95 | Professional | None | $616.60 | $616.60 | $707.95 |
CareFirst Setting Professional Modifier None Typical Low $2.95 Median $3.31 Typical High $5.37 | Professional | None | $2.95 | $3.31 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $707.95 | Professional | None | $389.05 | $524.81 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $645.65 Typical High $758.58 | Professional | None | $380.19 | $645.65 | $758.58 |
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 $3.31 Typical High $3.47 | Professional | NA | $3.02 | $3.31 | $3.47 |