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 $5.89 Median $12.59 Typical High $26.92 | Facility | None | $5.89 | $12.59 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $11.75 | Professional | None | $5.89 | $7.76 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $23.44 Typical High $35.48 | Facility | None | $8.71 | $23.44 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.37 Typical High $15.85 | Professional | None | $4.68 | $5.37 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $9.33 Typical High $23.99 | Facility | None | $4.57 | $9.33 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $9.12 | Professional | None | $4.07 | $5.75 | $9.12 |
Denver HMP Setting Facility Modifier None Typical Low $5.89 Median $8.51 Typical High $15.49 | Facility | None | $5.89 | $8.51 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.17 Median $10.96 Typical High $19.95 | Professional | None | $6.17 | $10.96 | $19.95 |
Select Health Setting Facility Modifier None Typical Low $7.76 Median $14.45 Typical High $16.22 | Facility | None | $7.76 | $14.45 | $16.22 |
Select Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $7.76 | Professional | None | $5.50 | $5.50 | $7.76 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $5.75 | Professional | None | $3.24 | $4.57 | $5.75 |
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 $2.95 Median $2.95 Typical High $3.89 | Professional | 52 · Reduced service | $2.95 | $2.95 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.58 | Professional | 53 · Discontinued | $1.17 | $1.17 | $1.58 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $10.00 Typical High $16.22 | Professional | QW · Waived lab test | $6.17 | $10.00 | $16.22 |
Where Colorado sits
The same service costs 13.5 times more in Minnesota than in North Carolina. 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
$9.12
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.