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 $12.88 Median $29.51 Typical High $60.26 | Facility | None | $12.88 | $29.51 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $23.44 | Professional | None | $11.22 | $12.88 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $51.29 Typical High $77.62 | Facility | None | $19.05 | $51.29 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $35.48 | Professional | None | $7.08 | $11.75 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $20.42 Typical High $52.48 | Facility | None | $10.00 | $20.42 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $19.95 | Professional | None | $8.71 | $11.75 | $19.95 |
Denver HMP Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $33.88 | Facility | None | $12.88 | $18.62 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $24.55 Typical High $66.07 | Professional | None | $13.49 | $24.55 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $16.98 Median $31.62 Typical High $35.48 | Facility | None | $16.98 | $31.62 | $35.48 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.98 | Professional | None | $12.02 | $12.02 | $16.98 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $12.59 | Professional | None | $7.08 | $10.00 | $12.59 |
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 $6.46 Median $6.46 Typical High $8.51 | Professional | 52 · Reduced service | $6.46 | $6.46 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.57 Typical High $3.39 | Professional | 53 · Discontinued | $2.51 | $2.57 | $3.39 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $13.49 Median $23.99 Typical High $35.48 | Professional | QW · Waived lab test | $13.49 | $23.99 | $35.48 |
Where Colorado sits
The same service costs 8.1 times more in Vermont than in Indiana. 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· 21st of 51
$18.62
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.