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 $263.03 Median $549.54 Typical High $1,202.26 | Facility | None | $263.03 | $549.54 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $281.84 | Professional | None | $194.98 | $199.53 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $794.33 Typical High $1,202.26 | Facility | None | $275.42 | $794.33 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $575.44 | Professional | None | $109.65 | $109.65 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $229.09 Typical High $831.76 | Facility | None | $154.88 | $229.09 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $380.19 | Professional | None | $120.23 | $138.04 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $346.74 | Facility | None | $199.53 | $234.42 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $630.96 | Professional | None | $263.03 | $371.54 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $549.54 | Facility | None | $263.03 | $489.78 | $549.54 |
Select Health Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $398.11 | Professional | None | $186.21 | $263.03 | $398.11 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | None | $109.65 | $109.65 | $194.98 |
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 $97.72 Median $100.00 Typical High $138.04 | Professional | 52 · Reduced service | $97.72 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $56.23 | Professional | 53 · Discontinued | $39.81 | $39.81 | $56.23 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $251.19 Median $363.08 Typical High $524.81 | Professional | QW · Waived lab test | $251.19 | $363.08 | $524.81 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 7th of 51
$339
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.