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 $5.75 Median $12.88 Typical High $26.30 | Facility | None | $5.75 | $12.88 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $11.22 | Professional | None | $5.62 | $7.08 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $22.39 Typical High $34.67 | Facility | None | $8.51 | $22.39 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $5.13 Typical High $15.49 | Professional | None | $3.16 | $5.13 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $9.12 Typical High $22.91 | Facility | None | $4.37 | $9.12 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $5.37 Typical High $8.71 | Professional | None | $3.89 | $5.37 | $8.71 |
Denver HMP Setting Facility Modifier None Typical Low $5.75 Median $8.13 Typical High $15.14 | Facility | None | $5.75 | $8.13 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $10.96 Typical High $29.51 | Professional | None | $6.03 | $10.96 | $29.51 |
Select Health Setting Facility Modifier None Typical Low $7.59 Median $13.80 Typical High $15.85 | Facility | None | $7.59 | $13.80 | $15.85 |
Select Health Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $7.59 | Professional | None | $5.25 | $5.25 | $7.59 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.37 Typical High $6.03 | Professional | None | $3.16 | $4.37 | $6.03 |
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 $2.82 Median $2.88 Typical High $3.80 | Professional | 52 · Reduced service | $2.82 | $2.88 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.51 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.51 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $6.03 Median $10.72 Typical High $15.85 | Professional | QW · Waived lab test | $6.03 | $10.72 | $15.85 |
Where Colorado sits
The same service costs 21.4 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
$8.91
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.