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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $60.26 | Professional | None | $53.70 | $56.23 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $128.82 | Professional | None | $70.79 | $91.20 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $117.49 | Professional | None | $69.18 | $83.18 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $56.23 Median $63.10 Typical High $79.43 | Facility | None | $56.23 | $63.10 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $123.03 | Professional | None | $64.57 | $77.62 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $104.71 Typical High $117.49 | Facility | None | $56.23 | $104.71 | $117.49 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $89.13 | Professional | None | $52.48 | $61.66 | $89.13 |
United Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $128.82 | Professional | None | $66.07 | $87.10 | $128.82 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $28.18 Typical High $30.20 | Professional | 52 · Reduced service | $26.30 | $28.18 | $30.20 |
Where Colorado sits
The same service costs 2.8 times more in Alaska than in Florida. 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
$85.11
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.