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 $8.71 Median $10.96 Typical High $26.92 | Facility | None | $8.71 | $10.96 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $23.99 | Professional | None | $8.32 | $16.60 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $21.38 Typical High $40.74 | Professional | None | $9.77 | $21.38 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $20.42 Typical High $32.36 | Professional | None | $9.77 | $20.42 | $32.36 |
Denver HMP Setting Facility Modifier None Typical Low $8.71 Median $12.59 Typical High $31.62 | Facility | None | $8.71 | $12.59 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.08 Median $19.50 Typical High $38.02 | Professional | None | $7.08 | $19.50 | $38.02 |
Select Health Setting Facility Modifier None Typical Low $14.13 Median $22.91 Typical High $48.98 | Facility | None | $14.13 | $22.91 | $48.98 |
Select Health Setting Professional Modifier None Typical Low $6.61 Median $8.71 Typical High $22.91 | Professional | None | $6.61 | $8.71 | $22.91 |
United Setting Professional Modifier None Typical Low $9.55 Median $18.62 Typical High $33.88 | Professional | None | $9.55 | $18.62 | $33.88 |
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 $4.17 Median $7.94 Typical High $12.02 | Professional | 52 · Reduced service | $4.17 | $7.94 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $3.16 Typical High $4.79 | Professional | 53 · Discontinued | $1.70 | $3.16 | $4.79 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $5.25 Median $7.41 Typical High $22.91 | Professional | HO · Master's level | $5.25 | $7.41 | $22.91 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 20th of 51
$19.50
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.