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 $169.82 Median $169.82 Typical High $245.47 | Facility | None | $169.82 | $169.82 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $257.04 | Professional | None | $169.82 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | 52 · Reduced service | $85.11 | $100.00 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $537.03 | Professional | None | $229.09 | $331.13 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $407.38 | Professional | None | $204.17 | $275.42 | $407.38 |
Denver HMP Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $407.38 | Facility | None | $169.82 | $257.04 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $331.13 Typical High $501.19 | Professional | None | $204.17 | $331.13 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $630.96 | Facility | None | $302.00 | $338.84 | $630.96 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $302.00 | Professional | None | $158.49 | $223.87 | $302.00 |
United Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $537.03 | Facility | None | $446.68 | $467.74 | $537.03 |
United Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $407.38 | Professional | None | $194.98 | $269.15 | $407.38 |
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 $128.82 Median $181.97 Typical High $288.40 | Professional | HO · Master's level | $128.82 | $181.97 | $288.40 |
Where Colorado sits
The same service costs 2.7 times more in Alaska than in Alabama. 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
$282
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.