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 $25.12 Median $69.18 Typical High $151.36 | Facility | None | $25.12 | $69.18 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $45.71 | Professional | None | $23.99 | $25.12 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $97.72 Typical High $151.36 | Facility | None | $34.67 | $97.72 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $22.39 Typical High $67.61 | Professional | None | $13.80 | $22.39 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $39.81 Typical High $102.33 | Facility | None | $17.38 | $39.81 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $37.15 | Professional | None | $15.14 | $18.20 | $37.15 |
Denver HMP Setting Facility Modifier None Typical Low $25.12 Median $29.51 Typical High $42.66 | Facility | None | $25.12 | $29.51 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $47.86 Typical High $77.62 | Professional | None | $26.30 | $47.86 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $69.18 | Facility | None | $33.11 | $60.26 | $69.18 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $33.11 | Professional | None | $22.91 | $22.91 | $33.11 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $23.99 | Professional | None | $13.80 | $13.80 | $23.99 |
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 $11.48 Median $12.59 Typical High $16.22 | Professional | 52 · Reduced service | $11.48 | $12.59 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.01 Typical High $6.61 | Professional | 53 · Discontinued | $4.57 | $5.01 | $6.61 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $26.30 Median $46.77 Typical High $69.18 | Professional | QW · Waived lab test | $26.30 | $46.77 | $69.18 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 17th of 51
$33.11
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.