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 $79.43 Median $79.43 Typical High $123.03 | Facility | None | $79.43 | $79.43 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $123.03 | Professional | None | $79.43 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $42.66 Typical High $61.66 | Professional | 52 · Reduced service | $39.81 | $42.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $263.03 | Professional | None | $100.00 | $158.49 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $208.93 | Professional | None | $85.11 | $128.82 | $208.93 |
Denver HMP Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $173.78 | Facility | None | $79.43 | $114.82 | $173.78 |
Denver HMP Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $239.88 | Professional | None | $79.43 | $147.91 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $316.23 | Facility | None | $147.91 | $147.91 | $316.23 |
Select Health Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $147.91 | Professional | None | $64.57 | $87.10 | $147.91 |
United Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $933.25 | Facility | None | $776.25 | $812.83 | $933.25 |
United Setting Professional Modifier None Typical Low $61.66 Median $114.82 Typical High $204.17 | Professional | None | $61.66 | $114.82 | $204.17 |
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 $60.26 Median $85.11 Typical High $134.90 | Professional | HN · Bachelor's level | $60.26 | $85.11 | $134.90 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $85.11 Typical High $144.54 | Professional | HO · Master's level | $60.26 | $85.11 | $144.54 |
Where Colorado sits
The same service costs 3.4 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· 16th of 51
$123
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.