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 $9.12 Median $20.42 Typical High $41.69 | Facility | None | $9.12 | $20.42 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $17.78 | Professional | None | $7.94 | $9.33 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $36.31 Typical High $54.95 | Facility | None | $13.49 | $36.31 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $24.55 | Professional | None | $7.24 | $12.02 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $14.45 Typical High $36.31 | Facility | None | $7.08 | $14.45 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $14.13 | Professional | None | $6.17 | $8.32 | $14.13 |
Denver HMP Setting Facility Modifier None Typical Low $9.12 Median $12.88 Typical High $23.99 | Facility | None | $9.12 | $12.88 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $17.38 Typical High $46.77 | Professional | None | $9.55 | $17.38 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $12.02 Median $22.39 Typical High $25.12 | Facility | None | $12.02 | $22.39 | $25.12 |
Select Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $12.02 | Professional | None | $8.32 | $8.32 | $12.02 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $9.55 | Professional | None | $5.01 | $7.08 | $9.55 |
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 $4.47 Median $4.57 Typical High $6.03 | Professional | 52 · Reduced service | $4.47 | $4.57 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.82 Typical High $2.40 | Professional | 53 · Discontinued | $1.78 | $1.82 | $2.40 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $9.55 Median $16.98 Typical High $25.12 | Professional | QW · Waived lab test | $9.55 | $16.98 | $25.12 |
Where Colorado sits
The same service costs 5.5 times more in Vermont 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· 24th of 51
$12.88
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.