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 $4.37 Median $10.00 Typical High $20.42 | Facility | None | $4.37 | $10.00 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.37 Typical High $8.71 | Professional | None | $4.37 | $5.37 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $17.38 Typical High $26.30 | Facility | None | $6.46 | $17.38 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $12.02 | Professional | None | $2.40 | $3.98 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $6.92 Typical High $17.78 | Facility | None | $3.39 | $6.92 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $6.61 | Professional | None | $3.02 | $4.07 | $6.61 |
Denver HMP Setting Facility Modifier None Typical Low $4.37 Median $6.31 Typical High $11.48 | Facility | None | $4.37 | $6.31 | $11.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.57 Median $8.13 Typical High $14.79 | Professional | None | $4.57 | $8.13 | $14.79 |
Select Health Setting Facility Modifier None Typical Low $5.75 Median $10.72 Typical High $12.02 | Facility | None | $5.75 | $10.72 | $12.02 |
Select Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.75 | Professional | None | $4.07 | $4.07 | $5.75 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.39 Typical High $4.57 | Professional | None | $2.45 | $3.39 | $4.57 |
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 $2.19 Median $2.19 Typical High $2.95 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.87 Typical High $1.17 | Professional | 53 · Discontinued | $0.85 | $0.87 | $1.17 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $4.57 Median $7.59 Typical High $12.02 | Professional | QW · Waived lab test | $4.57 | $7.59 | $12.02 |
Where Colorado sits
The same service costs 12.9 times more in Vermont than in Alabama. 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
$6.92
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.