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 $28.18 Median $28.18 Typical High $30.90 | Facility | None | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $30.90 | Professional | None | $23.99 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $11.75 | $14.13 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $57.54 | Professional | None | $28.84 | $38.90 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Denver HMP Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $50.12 | Facility | None | $26.92 | $33.88 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $51.29 | Professional | None | $26.92 | $36.31 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $29.51 Median $45.71 Typical High $61.66 | Facility | None | $29.51 | $45.71 | $61.66 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $38.90 | Professional | None | $20.89 | $29.51 | $38.90 |
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 $26.92 Median $34.67 Typical High $48.98 | Professional | None | $26.92 | $34.67 | $48.98 |
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 $16.98 Median $21.88 Typical High $28.18 | Professional | HO · Master's level | $16.98 | $21.88 | $28.18 |
Where Colorado sits
The same service costs 3.0 times more in North Carolina 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· 15th of 51
$33.88
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.