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 $7.76 Median $7.76 Typical High $15.49 | Facility | None | $7.76 | $7.76 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $15.49 | Professional | None | $7.76 | $10.47 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $30.20 | Professional | None | $10.00 | $16.98 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $16.98 Typical High $27.54 | Professional | None | $10.23 | $16.98 | $27.54 |
Denver HMP Setting Facility Modifier None Typical Low $7.76 Median $12.30 Typical High $22.39 | Facility | None | $7.76 | $12.30 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $18.20 Typical High $31.62 | Professional | None | $8.13 | $18.20 | $31.62 |
Select Health Setting Facility Modifier None Typical Low $7.24 Median $19.05 Typical High $39.81 | Facility | None | $7.24 | $19.05 | $39.81 |
Select Health Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $19.05 | Professional | None | $6.76 | $8.91 | $19.05 |
United Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $25.70 | Professional | None | $10.00 | $15.85 | $25.70 |
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 $6.03 Median $8.71 Typical High $19.05 | Professional | HN · Bachelor's level | $6.03 | $8.71 | $19.05 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $6.03 Median $8.71 Typical High $19.05 | Professional | HO · Master's level | $6.03 | $8.71 | $19.05 |
Where Colorado sits
The same service costs 2.8 times more in Minnesota 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· 14th of 51
$14.79
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.