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 $53.70 Median $147.91 Typical High $323.59 | Facility | None | $53.70 | $147.91 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $104.71 | Professional | None | $53.70 | $70.79 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $208.93 Typical High $323.59 | Facility | None | $74.13 | $208.93 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $154.88 | Professional | None | $70.79 | $70.79 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $85.11 Typical High $223.87 | Facility | None | $40.74 | $85.11 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $112.20 | Professional | None | $36.31 | $40.74 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $53.70 Median $67.61 Typical High $107.15 | Facility | None | $53.70 | $67.61 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $147.91 | Professional | None | $70.79 | $97.72 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $128.82 Typical High $147.91 | Facility | None | $70.79 | $128.82 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $104.71 | Professional | None | $48.98 | $70.79 | $104.71 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $52.48 | Professional | None | $29.51 | $36.31 | $52.48 |
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 $26.30 Median $26.92 Typical High $38.90 | Professional | 52 · Reduced service | $26.30 | $26.92 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $15.49 | Professional | 53 · Discontinued | $10.47 | $10.72 | $15.49 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $70.79 Median $97.72 Typical High $147.91 | Professional | QW · Waived lab test | $70.79 | $97.72 | $147.91 |
Where Colorado sits
The same service costs 4.0 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· 11th of 51
$91.20
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.