How much rates vary
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 $5.37 Median $12.30 Typical High $32.36 | Facility | None | $5.37 | $12.30 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $9.77 | Professional | None | $4.47 | $5.50 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $20.89 Typical High $32.36 | Facility | None | $7.94 | $20.89 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $4.79 Typical High $14.45 | Professional | None | $2.95 | $4.79 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $8.51 Typical High $21.38 | Facility | None | $4.07 | $8.51 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $4.79 Typical High $7.94 | Professional | None | $3.72 | $4.79 | $7.94 |
Denver HMP Setting Facility Modifier None Typical Low $5.37 Median $7.59 Typical High $14.13 | Facility | None | $5.37 | $7.59 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $10.23 Typical High $27.54 | Professional | None | $5.62 | $10.23 | $27.54 |
Select Health Setting Facility Modifier None Typical Low $7.08 Median $12.88 Typical High $14.79 | Facility | None | $7.08 | $12.88 | $14.79 |
Select Health Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $7.08 | Professional | None | $4.90 | $4.90 | $7.08 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $2.95 Median $4.07 Typical High $5.25 | Professional | None | $2.95 | $4.07 | $5.25 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $2.69 Typical High $3.55 | Professional | 52 · Reduced service | $2.57 | $2.69 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.07 Typical High $1.41 | Professional | 53 · Discontinued | $1.05 | $1.07 | $1.41 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $5.62 Median $10.00 Typical High $14.79 | Professional | QW · Waived lab test | $5.62 | $10.00 | $14.79 |
Where Colorado sits
The same service costs 9.3 times more in Vermont than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 20th of 51
$7.94
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.