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 $77.62 | Facility | None | $12.88 | $29.51 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $25.12 | Professional | None | $10.96 | $12.88 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $50.12 Typical High $77.62 | Facility | None | $17.78 | $50.12 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $11.48 Typical High $34.67 | Professional | None | $10.00 | $11.48 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $20.42 Typical High $51.29 | Facility | None | $9.77 | $20.42 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $19.50 | Professional | None | $7.94 | $9.33 | $19.50 |
Denver HMP Setting Facility Modifier None Typical Low $12.88 Median $16.60 Typical High $24.55 | Facility | None | $12.88 | $16.60 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $24.55 Typical High $51.29 | Professional | None | $13.49 | $24.55 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $16.98 Median $30.90 Typical High $35.48 | Facility | None | $16.98 | $30.90 | $35.48 |
Select Health Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $16.98 | Professional | None | $11.75 | $11.75 | $16.98 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $13.49 | Professional | None | $7.08 | $7.08 | $13.49 |
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 $6.17 Median $6.46 Typical High $8.32 | Professional | 52 · Reduced service | $6.17 | $6.46 | $8.32 |
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 3.6 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· 22nd 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.