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 $29.51 Median $33.11 Typical High $50.12 | Facility | None | $29.51 | $33.11 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $38.90 | Professional | None | $29.51 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $18.62 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.41 | $7.76 | $7.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $79.43 | Professional | None | $35.48 | $51.29 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $38.90 Typical High $39.81 | Professional | None | $25.70 | $38.90 | $39.81 |
Denver HMP Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $56.23 | Facility | None | $38.90 | $38.90 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $83.18 | Professional | None | $39.81 | $52.48 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $74.13 Typical High $83.18 | Facility | None | $30.20 | $74.13 | $83.18 |
Select Health Setting Professional Modifier None Typical Low $28.84 Median $39.81 Typical High $57.54 | Professional | None | $28.84 | $39.81 | $57.54 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,344.23 | Facility | None | $1,949.84 | $2,041.74 | $2,344.23 |
United Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $51.29 | Professional | None | $33.88 | $37.15 | $51.29 |
1 more rate 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 HO · Master's level Typical Low $30.20 Median $33.88 Typical High $39.81 | Professional | HO · Master's level | $30.20 | $33.88 | $39.81 |
Where Colorado sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 29th of 51
$36.31
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.