How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $34.67 Typical High $61.66 | Professional | None | $18.62 | $34.67 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $77.62 | Professional | None | $36.31 | $46.77 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $34.67 Typical High $85.11 | Facility | None | $18.20 | $34.67 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $407.38 | Professional | None | $165.96 | $173.78 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $223.87 | Facility | None | $107.15 | $199.53 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $147.91 | Professional | None | $74.13 | $107.15 | $147.91 |
United Setting Professional Modifier None Typical Low $21.88 Median $79.43 Typical High $138.04 | Professional | None | $21.88 | $79.43 | $138.04 |
2 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 $9.33 Median $17.38 Typical High $30.90 | Professional | 52 · Reduced service | $9.33 | $17.38 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $6.92 Typical High $12.30 | Professional | 53 · Discontinued | $3.72 | $6.92 | $12.30 |
Where Colorado sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 44th of 51
$50.12
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.