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 $43.65 Median $43.65 Typical High $56.23 | Facility | None | $43.65 | $43.65 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $56.23 | Professional | None | $42.66 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.88 Typical High $28.18 | Professional | 52 · Reduced service | $21.38 | $21.88 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $123.03 | Professional | None | $53.70 | $75.86 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $93.33 | Professional | None | $38.90 | $57.54 | $93.33 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $81.28 | Facility | None | $43.65 | $56.23 | $81.28 |
Denver HMP Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $117.49 | Professional | None | $44.67 | $67.61 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $141.25 | Facility | None | $67.61 | $67.61 | $141.25 |
Select Health Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $67.61 | Professional | None | $35.48 | $47.86 | $67.61 |
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 $37.15 Median $54.95 Typical High $93.33 | Professional | None | $37.15 | $54.95 | $93.33 |
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 $33.11 Median $46.77 Typical High $61.66 | Professional | HN · Bachelor's level | $33.11 | $46.77 | $61.66 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $33.11 Median $46.77 Typical High $66.07 | Professional | HO · Master's level | $33.11 | $46.77 | $66.07 |
Where Colorado sits
The same service costs 4.1 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· 17th of 51
$56.23
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.