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 $2.57 Median $11.22 Typical High $40.74 | Facility | None | $2.57 | $11.22 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $16.22 | Professional | None | $7.76 | $9.12 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $34.67 Typical High $52.48 | Facility | None | $12.88 | $34.67 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $7.94 Typical High $23.99 | Professional | None | $4.79 | $7.94 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $14.13 Typical High $35.48 | Facility | None | $6.76 | $14.13 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $7.41 Typical High $13.18 | Professional | None | $5.50 | $7.41 | $13.18 |
Denver HMP Setting Facility Modifier None Typical Low $2.75 Median $10.72 Typical High $21.88 | Facility | None | $2.75 | $10.72 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.33 Median $16.60 Typical High $30.90 | Professional | None | $9.33 | $16.60 | $30.90 |
Select Health Setting Facility Modifier None Typical Low $11.48 Median $21.38 Typical High $24.55 | Facility | None | $11.48 | $21.38 | $24.55 |
Select Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $11.48 | Professional | None | $8.13 | $8.13 | $11.48 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.31 Typical High $8.51 | Professional | None | $4.90 | $6.31 | $8.51 |
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 $4.17 Median $4.37 Typical High $5.75 | Professional | 52 · Reduced service | $4.17 | $4.37 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.78 Typical High $2.29 | Professional | 53 · Discontinued | $1.66 | $1.78 | $2.29 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $9.33 Median $16.60 Typical High $24.55 | Professional | QW · Waived lab test | $9.33 | $16.60 | $24.55 |
Where Colorado sits
The same service costs 13.2 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· 31st of 51
$11.48
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.