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 $18.20 Median $41.69 Typical High $112.20 | Facility | None | $18.20 | $41.69 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $23.99 | Professional | None | $16.98 | $18.20 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $72.44 Typical High $109.65 | Facility | None | $26.92 | $72.44 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $50.12 | Professional | None | $10.00 | $16.60 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $28.84 Typical High $75.86 | Facility | None | $14.13 | $28.84 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | None | $12.88 | $12.88 | $16.60 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $23.44 Typical High $42.66 | Facility | None | $18.20 | $23.44 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $34.67 Typical High $93.33 | Professional | None | $19.05 | $34.67 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $23.99 Median $44.67 Typical High $50.12 | Facility | None | $23.99 | $44.67 | $50.12 |
Select Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.99 | Professional | None | $16.98 | $16.98 | $23.99 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $17.78 | Professional | None | $10.00 | $13.80 | $17.78 |
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 $9.12 Median $9.12 Typical High $12.02 | Professional | 52 · Reduced service | $9.12 | $9.12 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.90 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.90 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $19.05 Median $33.88 Typical High $50.12 | Professional | QW · Waived lab test | $19.05 | $33.88 | $50.12 |
Where Colorado sits
The same service costs 3.6 times more in Hawaii 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· 13th of 51
$26.92
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.