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 $15.49 Median $32.36 Typical High $70.79 | Facility | None | $15.49 | $32.36 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $22.91 | Professional | None | $10.96 | $11.75 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $45.71 Typical High $70.79 | Facility | None | $17.38 | $45.71 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $31.62 | Professional | None | $9.33 | $15.14 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $18.62 Typical High $46.77 | Facility | None | $8.13 | $18.62 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $17.38 | Professional | None | $7.41 | $8.71 | $17.38 |
Denver HMP Setting Facility Modifier None Typical Low $11.75 Median $15.14 Typical High $23.44 | Facility | None | $11.75 | $15.14 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $22.39 Typical High $60.26 | Professional | None | $12.30 | $22.39 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $15.14 Median $28.18 Typical High $32.36 | Facility | None | $15.14 | $28.18 | $32.36 |
Select Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $15.14 | Professional | None | $10.72 | $10.72 | $15.14 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $11.22 | Professional | None | $6.46 | $7.08 | $11.22 |
1 more rate 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $12.30 Median $21.88 Typical High $32.36 | Professional | QW · Waived lab test | $12.30 | $21.88 | $32.36 |
Where Colorado sits
The same service costs 3.5 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· 18th of 51
$16.22
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.