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 $34.67 Median $34.67 Typical High $51.29 | Facility | None | $34.67 | $34.67 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $51.29 | Professional | None | $34.67 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $19.05 Typical High $25.70 | Professional | 52 · Reduced service | $17.38 | $19.05 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $95.50 | Professional | None | $38.90 | $56.23 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $81.28 | Professional | None | $42.66 | $57.54 | $81.28 |
Denver HMP Setting Facility Modifier None Typical Low $34.67 Median $50.12 Typical High $74.13 | Facility | None | $34.67 | $50.12 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $56.23 Typical High $95.50 | Professional | None | $31.62 | $56.23 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $117.49 | Facility | None | $56.23 | $56.23 | $117.49 |
Select Health Setting Professional Modifier None Typical Low $25.70 Median $34.67 Typical High $56.23 | Professional | None | $25.70 | $34.67 | $56.23 |
United Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $91.20 | Professional | None | $43.65 | $60.26 | $91.20 |
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 $23.99 Median $33.88 Typical High $50.12 | Professional | HN · Bachelor's level | $23.99 | $33.88 | $50.12 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $23.99 Median $33.88 Typical High $54.95 | Professional | HO · Master's level | $23.99 | $33.88 | $54.95 |
Where Colorado sits
The same service costs 4.1 times more in Alaska than in Indiana. 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· 12th of 51
$51.29
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.