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 $5.50 Median $12.59 Typical High $25.12 | Facility | None | $5.50 | $12.59 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $10.00 | Professional | None | $5.01 | $5.75 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $21.38 Typical High $33.11 | Facility | None | $8.13 | $21.38 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $4.90 Typical High $14.79 | Professional | None | $3.02 | $4.90 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $8.71 Typical High $21.88 | Facility | None | $4.17 | $8.71 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $8.32 | Professional | None | $3.72 | $5.25 | $8.32 |
Denver HMP Setting Facility Modifier None Typical Low $5.50 Median $7.76 Typical High $14.45 | Facility | None | $5.50 | $7.76 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.75 Median $10.23 Typical High $18.62 | Professional | None | $5.75 | $10.23 | $18.62 |
Select Health Setting Facility Modifier None Typical Low $7.24 Median $13.18 Typical High $15.14 | Facility | None | $7.24 | $13.18 | $15.14 |
Select Health Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $7.24 | Professional | None | $5.01 | $5.01 | $7.24 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $5.37 | Professional | None | $3.02 | $4.27 | $5.37 |
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 $2.69 Median $2.75 Typical High $3.63 | Professional | 52 · Reduced service | $2.69 | $2.75 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.10 Typical High $1.45 | Professional | 53 · Discontinued | $1.07 | $1.10 | $1.45 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $5.75 Median $9.33 Typical High $15.14 | Professional | QW · Waived lab test | $5.75 | $9.33 | $15.14 |
Where Colorado sits
The same service costs 5.8 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· 22nd of 51
$8.13
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.