How much rates vary
Facilitymedian $37 · 10th to 90th $20 to $355Professionalmedian $89 · 10th to 90th $30 to $257
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 $40.74 Typical High $354.81 | Professional | None | $30.20 | $40.74 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None | $199.53 | $199.53 | $251.19 |
CareFirst Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $3.47 | Professional | None | $3.02 | $3.47 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $302.00 | Professional | None | $162.18 | $204.17 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $1,445.44 | Professional | None | $169.82 | $302.00 | $1,445.44 |
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 $61.66 Typical High $89.13 | Professional | None | $22.91 | $61.66 | $89.13 |
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 $3.16 Typical High $4.27 | Professional | NA | $3.16 | $3.16 | $4.27 |