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 $141.25 Median $245.47 Typical High $660.69 | Facility | None | $141.25 | $245.47 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | None | $141.25 | $141.25 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $426.58 Typical High $660.69 | Facility | None | $190.55 | $426.58 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $316.23 | Professional | None | $60.26 | $60.26 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $446.68 | Facility | None | $75.86 | $100.00 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $173.78 | Professional | None | $70.79 | $77.62 | $173.78 |
Denver HMP Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $204.17 | Facility | None | $141.25 | $141.25 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $302.00 | Professional | None | $141.25 | $204.17 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $302.00 | Facility | None | $141.25 | $263.03 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $213.80 | Professional | None | $100.00 | $141.25 | $213.80 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $104.71 | Professional | None | $60.26 | $66.07 | $104.71 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $199.53 Typical High $295.12 | Professional | QW · Waived lab test | $141.25 | $199.53 | $295.12 |
Where Colorado sits
The same service costs 4.3 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· 7th of 51
$186
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.