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 $2.69 Median $6.31 Typical High $16.60 | Facility | None | $2.69 | $6.31 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $2.95 Typical High $5.01 | Professional | None | $2.63 | $2.95 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $10.72 Typical High $16.22 | Facility | None | $3.98 | $10.72 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.45 Typical High $7.41 | Professional | None | $2.14 | $2.45 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $4.37 Typical High $10.96 | Facility | None | $2.09 | $4.37 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $2.40 Typical High $4.17 | Professional | None | $1.86 | $2.40 | $4.17 |
Denver HMP Setting Facility Modifier None Typical Low $2.69 Median $3.89 Typical High $7.24 | Facility | None | $2.69 | $3.89 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.88 Median $5.25 Typical High $12.02 | Professional | None | $2.88 | $5.25 | $12.02 |
Select Health Setting Facility Modifier None Typical Low $3.55 Median $6.61 Typical High $7.59 | Facility | None | $3.55 | $6.61 | $7.59 |
Select Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.55 | Professional | None | $2.51 | $2.51 | $3.55 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.95 Typical High $3.55 | Professional | None | $2.14 | $2.95 | $3.55 |
4 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 $1.35 Median $1.35 Typical High $1.82 | Professional | 52 · Reduced service | $1.35 | $1.35 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.54 Typical High $0.72 | Professional | 53 · Discontinued | $0.52 | $0.54 | $0.72 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | QW · Waived lab test | $2.45 | $2.45 | $2.45 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $2.88 Median $5.13 Typical High $7.59 | Professional | QW · Waived lab test | $2.88 | $5.13 | $7.59 |
Where Colorado sits
The same service costs 3.5 times more in Kansas than in Tennessee. 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
$3.98
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.