How much rates vary
Facilitymedian $37 · 10th to 90th $20 to $447Professionalmedian $112 · 10th to 90th $30 to $363
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 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | None | $338.84 | $338.84 | $398.11 |
CareFirst Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $5.37 | Professional | None | $3.02 | $3.02 | $5.37 |
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 $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 $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 $3.16 Median $3.31 Typical High $3.47 | Professional | NA | $3.16 | $3.31 | $3.47 |