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 $3.63 Median $8.32 Typical High $16.60 | Facility | None | $3.63 | $8.32 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.89 Typical High $7.08 | Professional | None | $3.31 | $3.89 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $14.13 Typical High $21.88 | Facility | None | $5.37 | $14.13 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $3.24 Typical High $9.77 | Professional | None | $2.00 | $3.24 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $5.75 Typical High $14.45 | Facility | None | $2.82 | $5.75 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.31 Typical High $5.75 | Professional | None | $2.51 | $3.31 | $5.75 |
Denver HMP Setting Facility Modifier None Typical Low $3.63 Median $5.13 Typical High $9.55 | Facility | None | $3.63 | $5.13 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.80 Median $6.92 Typical High $12.02 | Professional | None | $3.80 | $6.92 | $12.02 |
Select Health Setting Facility Modifier None Typical Low $4.79 Median $8.71 Typical High $10.00 | Facility | None | $4.79 | $8.71 | $10.00 |
Select Health Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.79 | Professional | None | $3.31 | $3.31 | $4.79 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.89 Typical High $4.79 | Professional | None | $2.82 | $3.89 | $4.79 |
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 $1.78 Median $1.82 Typical High $2.40 | Professional | 52 · Reduced service | $1.78 | $1.82 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.72 Typical High $0.95 | Professional | 53 · Discontinued | $0.71 | $0.72 | $0.95 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $3.80 Median $6.76 Typical High $10.00 | Professional | QW · Waived lab test | $3.80 | $6.76 | $10.00 |
Where Colorado sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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· 22nd of 51
$5.62
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.