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 $13.80 Median $29.51 Typical High $64.57 | Facility | None | $13.80 | $29.51 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $20.89 | Professional | None | $10.47 | $10.96 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $41.69 Typical High $63.10 | Facility | None | $15.49 | $41.69 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $28.84 | Professional | None | $8.51 | $13.80 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $16.98 Typical High $42.66 | Facility | None | $8.13 | $16.98 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.71 Typical High $16.22 | Professional | None | $6.61 | $8.71 | $16.22 |
Denver HMP Setting Facility Modifier None Typical Low $10.47 Median $15.14 Typical High $24.55 | Facility | None | $10.47 | $15.14 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $30.90 | Professional | None | $11.22 | $19.95 | $30.90 |
Select Health Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $29.51 | Facility | None | $13.80 | $25.70 | $29.51 |
Select Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $13.80 | Professional | None | $9.77 | $9.77 | $13.80 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $5.89 Median $7.08 Typical High $11.22 | Professional | None | $5.89 | $7.08 | $11.22 |
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 $5.13 Median $5.25 Typical High $6.92 | Professional | 52 · Reduced service | $5.13 | $5.25 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $2.75 | Professional | 53 · Discontinued | $2.04 | $2.09 | $2.75 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $11.22 Median $19.95 Typical High $29.51 | Professional | QW · Waived lab test | $11.22 | $19.95 | $29.51 |
Where Colorado sits
The same service costs 3.3 times more in Kansas than in New Jersey. 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
$14.45
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.