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 $63.10 Median $63.10 Typical High $100.00 | Facility | None | $63.10 | $63.10 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $81.28 | Professional | None | $60.26 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $30.20 | $31.62 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $144.54 | Professional | None | $72.44 | $100.00 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $138.04 | Professional | None | $74.13 | $91.20 | $138.04 |
Denver HMP Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $112.20 | Facility | None | $63.10 | $87.10 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $141.25 | Professional | None | $74.13 | $100.00 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $165.96 | Facility | None | $79.43 | $128.82 | $165.96 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $107.15 | Professional | None | $58.88 | $79.43 | $107.15 |
United Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $131.83 | Professional | None | $72.44 | $91.20 | $131.83 |
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 $47.86 Median $60.26 Typical High $75.86 | Professional | HO · Master's level | $47.86 | $60.26 | $75.86 |
Where Colorado sits
The same service costs 3.0 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
$91.20
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.