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 $21.38 Median $28.84 Typical High $33.88 | Facility | None | $21.38 | $28.84 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $33.11 | Professional | None | $20.89 | $27.54 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $61.66 | Professional | None | $30.20 | $41.69 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $53.70 | Professional | None | $34.67 | $41.69 | $53.70 |
Denver HMP Setting Facility Modifier None Typical Low $28.84 Median $37.15 Typical High $48.98 | Facility | None | $28.84 | $37.15 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $58.88 | Professional | None | $30.90 | $40.74 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $69.18 | Facility | None | $32.36 | $53.70 | $69.18 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $45.71 | Professional | None | $24.55 | $32.36 | $45.71 |
United Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $57.54 | Professional | None | $31.62 | $40.74 | $57.54 |
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 $13.80 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $13.80 | $14.45 | $15.14 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $19.95 Median $24.55 Typical High $30.90 | Professional | HO · Master's level | $19.95 | $24.55 | $30.90 |
Where Colorado sits
The same service costs 2.5 times more in Alaska than in New York. 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
$31.62
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.