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 $123.03 Median $234.42 Typical High $354.81 | Facility | None | $123.03 | $234.42 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | None | $123.03 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $70.79 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $245.47 Typical High $407.38 | Professional | None | $141.25 | $245.47 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $316.23 | Professional | None | $158.49 | $208.93 | $316.23 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $269.15 | Facility | None | $123.03 | $177.83 | $269.15 |
Denver HMP Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $389.05 | Professional | None | $123.03 | $229.09 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $478.63 | Facility | None | $229.09 | $229.09 | $478.63 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $229.09 | Professional | None | $114.82 | $134.90 | $229.09 |
United Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Facility | None | $575.44 | $616.60 | $691.83 |
United Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $338.84 | Professional | None | $144.54 | $218.78 | $338.84 |
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 $93.33 Median $131.83 Typical High $204.17 | Professional | HN · Bachelor's level | $93.33 | $131.83 | $204.17 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $93.33 Median $131.83 Typical High $223.87 | Professional | HO · Master's level | $93.33 | $131.83 | $223.87 |
Where Colorado sits
The same service costs 2.8 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· 14th of 51
$186
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.