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 $6.76 Median $15.49 Typical High $30.90 | Facility | None | $6.76 | $15.49 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $12.30 | Professional | None | $6.61 | $7.08 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $26.92 Typical High $40.74 | Facility | None | $9.33 | $26.92 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $18.20 | Professional | None | $3.72 | $6.17 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $10.72 Typical High $26.92 | Facility | None | $5.25 | $10.72 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $6.17 Typical High $10.00 | Professional | None | $4.57 | $6.17 | $10.00 |
Denver HMP Setting Facility Modifier None Typical Low $6.76 Median $9.77 Typical High $17.78 | Facility | None | $6.76 | $9.77 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.08 Median $12.59 Typical High $17.78 | Professional | None | $7.08 | $12.59 | $17.78 |
Select Health Setting Facility Modifier None Typical Low $8.91 Median $16.60 Typical High $18.62 | Facility | None | $8.91 | $16.60 | $18.62 |
Select Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $8.91 | Professional | None | $6.17 | $6.17 | $8.91 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $6.61 | Professional | None | $3.72 | $5.25 | $6.61 |
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 $3.31 Median $3.39 Typical High $4.47 | Professional | 52 · Reduced service | $3.31 | $3.39 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.35 Typical High $1.82 | Professional | 53 · Discontinued | $1.32 | $1.35 | $1.82 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $7.08 Median $11.48 Typical High $18.62 | Professional | QW · Waived lab test | $7.08 | $11.48 | $18.62 |
Where Colorado sits
The same service costs 4.3 times more in Kansas 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· 23rd of 51
$10.00
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.