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 $1.82 Median $4.17 Typical High $8.32 | Facility | None | $1.82 | $4.17 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $2.34 Typical High $4.07 | Professional | None | $1.82 | $2.34 | $4.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.63 Median $7.08 Typical High $10.96 | Facility | None | $2.63 | $7.08 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.41 Median $1.45 Typical High $4.90 | Professional | None | $1.41 | $1.45 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $1.38 Median $2.88 Typical High $7.08 | Facility | None | $1.38 | $2.88 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.74 Typical High $2.69 | Professional | None | $1.17 | $1.74 | $2.69 |
Denver HMP Setting Facility Modifier None Typical Low $1.82 Median $2.57 Typical High $4.79 | Facility | None | $1.82 | $2.57 | $4.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.91 Median $3.47 Typical High $9.33 | Professional | None | $1.91 | $3.47 | $9.33 |
Select Health Setting Facility Modifier None Typical Low $2.34 Median $4.37 Typical High $5.01 | Facility | None | $2.34 | $4.37 | $5.01 |
Select Health Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $2.34 | Professional | None | $1.66 | $1.66 | $2.34 |
United Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
United Setting Professional Modifier None Typical Low $1.41 Median $1.95 Typical High $2.34 | Professional | None | $1.41 | $1.95 | $2.34 |
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 $0.89 Median $0.89 Typical High $1.20 | Professional | 52 · Reduced service | $0.89 | $0.89 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.36 Typical High $0.54 | Professional | 53 · Discontinued | $0.35 | $0.36 | $0.54 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $1.91 Median $3.39 Typical High $5.01 | Professional | QW · Waived lab test | $1.91 | $3.39 | $5.01 |
Where Colorado sits
The same service costs 16.6 times more in Minnesota than in Washington, DC. 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
$2.82
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.