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 $16.98 Median $38.90 Typical High $104.71 | Facility | None | $16.98 | $38.90 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $30.90 | Professional | None | $16.98 | $19.95 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $67.61 Typical High $102.33 | Facility | None | $25.12 | $67.61 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $46.77 | Professional | None | $9.33 | $15.49 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.92 Typical High $69.18 | Facility | None | $12.02 | $26.92 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $12.30 Typical High $25.70 | Professional | None | $10.47 | $12.30 | $25.70 |
Denver HMP Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $33.11 | Facility | None | $16.98 | $21.88 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $32.36 Typical High $46.77 | Professional | None | $17.78 | $32.36 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $22.39 Median $41.69 Typical High $46.77 | Facility | None | $22.39 | $41.69 | $46.77 |
Select Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $22.39 | Professional | None | $15.85 | $15.85 | $22.39 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $22.39 | Professional | None | $13.49 | $14.13 | $22.39 |
1 more rate 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $17.78 Median $31.62 Typical High $46.77 | Professional | QW · Waived lab test | $17.78 | $31.62 | $46.77 |
Where Colorado sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 19th of 51
$23.44
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.