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 $14.13 Median $32.36 Typical High $64.57 | Facility | None | $14.13 | $32.36 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $27.54 | Professional | None | $13.80 | $17.38 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $56.23 Typical High $85.11 | Facility | None | $20.89 | $56.23 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $38.02 | Professional | None | $7.76 | $12.88 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $22.39 Typical High $56.23 | Facility | None | $10.96 | $22.39 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $23.44 | Professional | None | $9.55 | $13.49 | $23.44 |
Denver HMP Setting Facility Modifier None Typical Low $14.13 Median $20.42 Typical High $37.15 | Facility | None | $14.13 | $20.42 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $26.30 Typical High $47.86 | Professional | None | $14.79 | $26.30 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $38.90 | Facility | None | $18.62 | $34.67 | $38.90 |
Select Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $18.62 | Professional | None | $12.88 | $12.88 | $18.62 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $14.79 | Professional | None | $7.76 | $10.96 | $14.79 |
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 $6.92 Median $7.08 Typical High $9.33 | Professional | 52 · Reduced service | $6.92 | $7.08 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.72 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.72 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $14.79 Median $23.99 Typical High $38.90 | Professional | QW · Waived lab test | $14.79 | $23.99 | $38.90 |
Where Colorado sits
The same service costs 6.8 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· 20th of 51
$21.88
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.