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 $89.13 Median $112.20 Typical High $141.25 | Facility | None | $89.13 | $112.20 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $131.83 | Professional | None | $89.13 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $245.47 | Professional | None | $83.18 | $141.25 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $134.90 | Professional | None | $85.11 | $120.23 | $134.90 |
Denver HMP Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $169.82 | Facility | None | $117.49 | $131.83 | $169.82 |
Denver HMP Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $151.36 | Professional | None | $109.65 | $109.65 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $234.42 | Professional | None | $100.00 | $144.54 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $199.53 Typical High $263.03 | Facility | None | $91.20 | $199.53 | $263.03 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $144.54 | Professional | None | $91.20 | $114.82 | $144.54 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,122.02 | Facility | None | $933.25 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $181.97 | Professional | None | $114.82 | $123.03 | $181.97 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $75.86 Median $95.50 Typical High $125.89 | Professional | HN · Bachelor's level | $75.86 | $95.50 | $125.89 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $97.72 Typical High $125.89 | Professional | HO · Master's level | $75.86 | $97.72 | $125.89 |
Where Colorado sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 36th of 51
$112
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.