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 $12.59 Median $23.44 Typical High $57.54 | Facility | None | $12.59 | $23.44 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $28.84 | Professional | None | $10.96 | $13.49 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $50.12 Typical High $75.86 | Facility | None | $18.62 | $50.12 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $11.48 Typical High $33.88 | Professional | None | $10.00 | $11.48 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $19.95 Typical High $50.12 | Facility | None | $9.77 | $19.95 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $19.05 | Professional | None | $7.76 | $10.96 | $19.05 |
Denver HMP Setting Facility Modifier None Typical Low $12.59 Median $16.60 Typical High $24.55 | Facility | None | $12.59 | $16.60 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $44.67 | Professional | None | $13.18 | $23.99 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $16.60 Median $30.90 Typical High $34.67 | Facility | None | $16.60 | $30.90 | $34.67 |
Select Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $16.60 | Professional | None | $11.48 | $11.48 | $16.60 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $9.77 Median $10.00 Typical High $16.60 | Professional | None | $9.77 | $10.00 | $16.60 |
4 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 $6.17 Median $6.31 Typical High $8.32 | Professional | 52 · Reduced service | $6.17 | $6.31 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $3.31 | Professional | 53 · Discontinued | $2.45 | $2.51 | $3.31 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | QW · Waived lab test | $11.48 | $11.48 | $11.48 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $13.18 Median $23.44 Typical High $34.67 | Professional | QW · Waived lab test | $13.18 | $23.44 | $34.67 |
Where Colorado sits
The same service costs 5.2 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· 19th of 51
$17.38
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.