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 $10.96 Median $25.12 Typical High $50.12 | Facility | None | $10.96 | $25.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $19.95 | Professional | None | $10.00 | $11.75 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $42.66 Typical High $66.07 | Facility | None | $15.85 | $42.66 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $9.77 Typical High $29.51 | Professional | None | $6.03 | $9.77 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $17.38 Typical High $43.65 | Facility | None | $8.32 | $17.38 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $16.60 | Professional | None | $7.41 | $10.47 | $16.60 |
Denver HMP Setting Facility Modifier None Typical Low $10.96 Median $15.49 Typical High $28.84 | Facility | None | $10.96 | $15.49 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $36.31 | Professional | None | $11.48 | $20.42 | $36.31 |
Select Health Setting Facility Modifier None Typical Low $14.13 Median $26.30 Typical High $30.20 | Facility | None | $14.13 | $26.30 | $30.20 |
Select Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $14.13 | Professional | None | $10.00 | $10.00 | $14.13 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $11.48 | Professional | None | $6.03 | $8.32 | $11.48 |
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 $5.37 Median $5.37 Typical High $7.24 | Professional | 52 · Reduced service | $5.37 | $5.37 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.19 Typical High $2.88 | Professional | 53 · Discontinued | $2.14 | $2.19 | $2.88 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $18.62 Typical High $30.20 | Professional | QW · Waived lab test | $11.48 | $18.62 | $30.20 |
Where Colorado sits
The same service costs 9.5 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· 19th of 51
$16.98
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.