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 $3.89 Median $8.91 Typical High $18.20 | Facility | None | $3.89 | $8.91 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.27 Typical High $7.24 | Professional | None | $3.63 | $4.27 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $15.49 Typical High $23.44 | Facility | None | $5.75 | $15.49 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.55 Typical High $10.72 | Professional | None | $2.14 | $3.55 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.17 Typical High $15.85 | Facility | None | $3.02 | $6.17 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.63 Typical High $5.75 | Professional | None | $2.69 | $3.63 | $5.75 |
Denver HMP Setting Facility Modifier None Typical Low $3.89 Median $5.62 Typical High $10.23 | Facility | None | $3.89 | $5.62 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.17 Median $7.41 Typical High $12.88 | Professional | None | $4.17 | $7.41 | $12.88 |
Select Health Setting Facility Modifier None Typical Low $5.13 Median $9.55 Typical High $10.96 | Facility | None | $5.13 | $9.55 | $10.96 |
Select Health Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $5.13 | Professional | None | $3.63 | $3.63 | $5.13 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $3.80 | Professional | None | $2.19 | $3.02 | $3.80 |
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 $1.95 Median $1.95 Typical High $2.63 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.78 Typical High $1.05 | Professional | 53 · Discontinued | $0.76 | $0.78 | $1.05 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $4.17 Median $6.76 Typical High $10.96 | Professional | QW · Waived lab test | $4.17 | $6.76 | $10.96 |
Where Colorado sits
The same service costs 8.1 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· 20th of 51
$6.03
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.