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 $26.92 Median $60.26 Typical High $123.03 | Facility | None | $26.92 | $60.26 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $66.07 | Professional | None | $26.92 | $37.15 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $104.71 Typical High $162.18 | Facility | None | $37.15 | $104.71 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $77.62 | Professional | None | $35.48 | $35.48 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $42.66 Typical High $109.65 | Facility | None | $20.42 | $42.66 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $69.18 | Professional | None | $18.20 | $23.99 | $69.18 |
Denver HMP Setting Facility Modifier None Typical Low $26.92 Median $35.48 Typical High $72.44 | Facility | None | $26.92 | $35.48 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $85.11 | Professional | None | $35.48 | $50.12 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $74.13 | Facility | None | $35.48 | $64.57 | $74.13 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $52.48 | Professional | None | $24.55 | $35.48 | $52.48 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $35.48 | Professional | None | $20.89 | $28.84 | $35.48 |
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 $13.18 Median $13.49 Typical High $30.20 | Professional | 52 · Reduced service | $13.18 | $13.49 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.37 Typical High $12.02 | Professional | 53 · Discontinued | $5.25 | $5.37 | $12.02 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $35.48 Median $48.98 Typical High $74.13 | Professional | QW · Waived lab test | $35.48 | $48.98 | $74.13 |
Where Colorado sits
The same service costs 3.4 times more in Minnesota than in Maryland. 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
$46.77
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.