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 $10.23 Median $23.44 Typical High $46.77 | Facility | None | $10.23 | $23.44 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $19.95 | Professional | None | $10.00 | $12.88 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $39.81 Typical High $61.66 | Facility | None | $15.14 | $39.81 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $9.12 Typical High $27.54 | Professional | None | $5.62 | $9.12 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.22 Typical High $40.74 | Facility | None | $7.76 | $16.22 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $10.72 Typical High $15.85 | Professional | None | $6.92 | $10.72 | $15.85 |
Denver HMP Setting Facility Modifier None Typical Low $10.23 Median $14.45 Typical High $38.02 | Facility | None | $10.23 | $14.45 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $19.05 Typical High $34.67 | Professional | None | $10.72 | $19.05 | $34.67 |
Select Health Setting Facility Modifier None Typical Low $13.49 Median $24.55 Typical High $28.18 | Facility | None | $13.49 | $24.55 | $28.18 |
Select Health Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $13.49 | Professional | None | $9.33 | $9.33 | $13.49 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $10.00 | Professional | None | $5.62 | $7.94 | $10.00 |
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 $5.01 Median $5.13 Typical High $6.76 | Professional | 52 · Reduced service | $5.01 | $5.13 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.04 Typical High $2.69 | Professional | 53 · Discontinued | $2.00 | $2.04 | $2.69 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $10.72 Median $17.38 Typical High $28.18 | Professional | QW · Waived lab test | $10.72 | $17.38 | $28.18 |
Where Colorado sits
The same service costs 10.7 times more in Vermont than in Maryland. 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· 19th of 51
$15.85
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.