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 $30.20 Median $30.20 Typical High $42.66 | Facility | None | $30.20 | $30.20 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $42.66 | Professional | None | $30.20 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $16.60 Typical High $21.38 | Professional | 52 · Reduced service | $15.14 | $16.60 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $95.50 | Professional | None | $38.90 | $57.54 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $72.44 | Professional | None | $34.67 | $47.86 | $72.44 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $61.66 | Facility | None | $30.20 | $42.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $52.48 Typical High $89.13 | Professional | None | $30.90 | $52.48 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $109.65 | Facility | None | $52.48 | $52.48 | $109.65 |
Select Health Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $52.48 | Professional | None | $25.12 | $33.11 | $52.48 |
United Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $75.86 | Professional | None | $33.88 | $48.98 | $75.86 |
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 $23.44 Median $33.11 Typical High $46.77 | Professional | HN · Bachelor's level | $23.44 | $33.11 | $46.77 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $23.44 Median $33.11 Typical High $51.29 | Professional | HO · Master's level | $23.44 | $33.11 | $51.29 |
Where Colorado sits
The same service costs 3.5 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· 17th of 51
$42.66
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.