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 $45.71 Median $125.89 Typical High $275.42 | Facility | None | $45.71 | $125.89 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $67.61 | Professional | None | $38.90 | $45.71 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $107.15 Typical High $162.18 | Facility | None | $46.77 | $107.15 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $24.55 Typical High $72.44 | Professional | None | $14.79 | $24.55 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $24.55 Typical High $112.20 | Facility | None | $19.95 | $24.55 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $45.71 | Professional | None | $17.78 | $26.92 | $45.71 |
Denver HMP Setting Facility Modifier None Typical Low $35.48 Median $45.71 Typical High $64.57 | Facility | None | $35.48 | $45.71 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $91.20 | Professional | None | $28.18 | $51.29 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $74.13 | Facility | None | $35.48 | $66.07 | $74.13 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $35.48 | Professional | None | $24.55 | $24.55 | $35.48 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $26.92 | Professional | None | $17.78 | $19.05 | $26.92 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $28.18 Median $50.12 Typical High $74.13 | Professional | QW · Waived lab test | $28.18 | $50.12 | $74.13 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 16th of 51
$45.71
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.