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 $66.07 Median $74.13 Typical High $114.82 | Facility | None | $66.07 | $74.13 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $95.50 | Professional | None | $64.57 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $34.67 Typical High $37.15 | Professional | 52 · Reduced service | $32.36 | $34.67 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $162.18 | Professional | None | $83.18 | $112.20 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $151.36 | Professional | None | $81.28 | $104.71 | $151.36 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $125.89 | Facility | None | $66.07 | $93.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $154.88 | Professional | None | $79.43 | $107.15 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $186.21 | Facility | None | $89.13 | $131.83 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $109.65 | Professional | None | $61.66 | $87.10 | $109.65 |
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 $81.28 Median $102.33 Typical High $144.54 | Professional | None | $81.28 | $102.33 | $144.54 |
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 $50.12 Median $66.07 Typical High $85.11 | Professional | HO · Master's level | $50.12 | $66.07 | $85.11 |
Where Colorado sits
The same service costs 2.8 times more in Alaska than in New York. 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
$100
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.