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 $26.30 Median $26.30 Typical High $35.48 | Facility | None | $26.30 | $26.30 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $39.81 | Professional | None | $26.30 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.85 Typical High $17.78 | Professional | 52 · Reduced service | $13.18 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.31 Typical High $7.08 | Professional | 53 · Discontinued | $5.25 | $6.31 | $7.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $77.62 | Professional | None | $35.48 | $50.12 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $63.10 | Professional | None | $35.48 | $46.77 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $26.30 Median $39.81 Typical High $58.88 | Facility | None | $26.30 | $39.81 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $72.44 | Professional | None | $31.62 | $47.86 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $53.70 Typical High $89.13 | Facility | None | $42.66 | $53.70 | $89.13 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $45.71 | Professional | None | $24.55 | $34.67 | $45.71 |
United Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $66.07 | Professional | None | $34.67 | $46.77 | $66.07 |
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 $19.95 Median $28.18 Typical High $40.74 | Professional | HO · Master's level | $19.95 | $28.18 | $40.74 |
Where Colorado sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 18th of 51
$44.67
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.