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 $2.95 Median $6.76 Typical High $13.80 | Facility | None | $2.95 | $6.76 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.95 Typical High $5.50 | Professional | None | $2.45 | $2.95 | $5.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $11.75 Typical High $17.78 | Facility | None | $4.37 | $11.75 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.62 Median $2.69 Typical High $8.13 | Professional | None | $1.62 | $2.69 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $4.79 Typical High $12.02 | Facility | None | $2.29 | $4.79 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.75 Typical High $4.57 | Professional | None | $2.00 | $2.75 | $4.57 |
Denver HMP Setting Facility Modifier None Typical Low $2.95 Median $4.27 Typical High $7.76 | Facility | None | $2.95 | $4.27 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.16 Median $5.62 Typical High $15.14 | Professional | None | $3.16 | $5.62 | $15.14 |
Select Health Setting Facility Modifier None Typical Low $3.89 Median $7.24 Typical High $8.32 | Facility | None | $3.89 | $7.24 | $8.32 |
Select Health Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $3.89 | Professional | None | $2.75 | $2.75 | $3.89 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $3.89 | Professional | None | $2.34 | $3.24 | $3.89 |
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 $1.45 Median $1.48 Typical High $2.00 | Professional | 52 · Reduced service | $1.45 | $1.48 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.60 Typical High $0.79 | Professional | 53 · Discontinued | $0.58 | $0.60 | $0.79 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $3.16 Median $5.62 Typical High $8.32 | Professional | QW · Waived lab test | $3.16 | $5.62 | $8.32 |
Where Colorado sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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
$4.47
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.