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 $1.91 Median $2.19 Typical High $2.57 | Facility | None | $1.91 | $2.19 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.57 | Professional | None | $1.91 | $2.19 | $2.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.15 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.46 | $0.51 | $0.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $3.31 Typical High $6.03 | Professional | None | $2.09 | $3.31 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $5.01 | Professional | None | $1.00 | $5.01 | $5.01 |
Denver HMP Setting Facility Modifier None Typical Low $2.34 Median $2.57 Typical High $3.63 | Facility | None | $2.34 | $2.57 | $3.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.40 Median $3.09 Typical High $4.90 | Professional | None | $2.40 | $3.09 | $4.90 |
Select Health Setting Facility Modifier None Typical Low $1.95 Median $4.47 Typical High $5.01 | Facility | None | $1.95 | $4.47 | $5.01 |
Select Health Setting Professional Modifier None Typical Low $1.86 Median $2.45 Typical High $3.47 | Professional | None | $1.86 | $2.45 | $3.47 |
United Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $151.36 | Facility | None | $125.89 | $131.83 | $151.36 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.34 Typical High $3.02 | Professional | None | $2.04 | $2.34 | $3.02 |
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 $1.78 Median $2.04 Typical High $2.40 | Professional | HO · Master's level | $1.78 | $2.04 | $2.40 |
Where Colorado sits
The same service costs 2.2 times more in North Dakota 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· 32nd of 51
$2.19
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.