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 $6.31 Median $13.18 Typical High $28.84 | Facility | None | $6.31 | $13.18 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.01 Typical High $9.33 | Professional | None | $4.37 | $5.01 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $18.62 Typical High $28.84 | Facility | None | $6.61 | $18.62 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $4.27 Typical High $12.88 | Professional | None | $2.63 | $4.27 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $7.59 Typical High $19.05 | Facility | None | $3.63 | $7.59 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $4.17 Typical High $7.08 | Professional | None | $2.95 | $4.17 | $7.08 |
Denver HMP Setting Facility Modifier None Typical Low $4.68 Median $6.17 Typical High $9.55 | Facility | None | $4.68 | $6.17 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $9.12 Typical High $19.05 | Professional | None | $5.01 | $9.12 | $19.05 |
Select Health Setting Facility Modifier None Typical Low $6.17 Median $11.48 Typical High $13.18 | Facility | None | $6.17 | $11.48 | $13.18 |
Select Health Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $6.17 | Professional | None | $4.37 | $4.37 | $6.17 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $3.72 Median $3.80 Typical High $6.17 | Professional | None | $3.72 | $3.80 | $6.17 |
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 $2.29 Median $2.34 Typical High $3.09 | Professional | 52 · Reduced service | $2.29 | $2.34 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.95 Typical High $1.26 | Professional | 53 · Discontinued | $0.91 | $0.95 | $1.26 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $5.01 Median $8.91 Typical High $13.18 | Professional | QW · Waived lab test | $5.01 | $8.91 | $13.18 |
Where Colorado sits
The same service costs 3.5 times more in Alaska 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· 20th of 51
$6.46
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.