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 $3.47 Median $7.94 Typical High $16.22 | Facility | None | $3.47 | $7.94 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.47 Typical High $6.03 | Professional | None | $3.24 | $3.47 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $13.80 Typical High $20.89 | Facility | None | $5.13 | $13.80 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $3.16 Typical High $9.55 | Professional | None | $1.95 | $3.16 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $5.62 Typical High $14.13 | Facility | None | $2.69 | $5.62 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $5.37 | Professional | None | $2.34 | $3.24 | $5.37 |
Denver HMP Setting Facility Modifier None Typical Low $3.47 Median $4.57 Typical High $9.12 | Facility | None | $3.47 | $4.57 | $9.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.72 Median $6.03 Typical High $9.55 | Professional | None | $3.72 | $6.03 | $9.55 |
Select Health Setting Facility Modifier None Typical Low $4.57 Median $8.51 Typical High $9.55 | Facility | None | $4.57 | $8.51 | $9.55 |
Select Health Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.57 | Professional | None | $3.24 | $3.24 | $4.57 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.69 Typical High $3.39 | Professional | None | $1.95 | $2.69 | $3.39 |
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 $1.74 Median $1.74 Typical High $2.29 | Professional | 52 · Reduced service | $1.74 | $1.74 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.71 Typical High $0.91 | Professional | 53 · Discontinued | $0.69 | $0.71 | $0.91 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $3.72 Median $6.46 Typical High $9.55 | Professional | QW · Waived lab test | $3.72 | $6.46 | $9.55 |
Where Colorado sits
The same service costs 4.4 times more in Minnesota 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· 21st of 51
$5.01
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.