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 $51.29 Median $117.49 Typical High $309.03 | Facility | None | $51.29 | $117.49 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $51.29 | $51.29 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $154.88 Typical High $234.42 | Facility | None | $67.61 | $154.88 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $112.20 | Professional | None (both parts) | $21.38 | $21.38 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $162.18 | Facility | None | $27.54 | $36.31 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Denver HMP Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $74.13 | Facility | None | $51.29 | $51.29 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $131.83 | Professional | None | $51.29 | $72.44 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $107.15 | Facility | None | $51.29 | $95.50 | $107.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $36.31 | $51.29 | $77.62 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $38.02 | Professional | None (both parts) | $21.38 | $21.38 | $38.02 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Kaiser Permanente Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $72.44 Typical High $104.71 | Professional | QW · Waived lab test | $51.29 | $72.44 | $104.71 |
Where Colorado sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 5th of 51
$67.61
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.