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 $35.48 Median $35.48 Typical High $38.90 | Facility | None | $35.48 | $35.48 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $38.90 | Professional | None | $32.36 | $35.48 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $70.79 | Professional | None | $30.20 | $45.71 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $53.70 | Professional | None | $34.67 | $34.67 | $53.70 |
Denver HMP Setting Facility Modifier None Typical Low $33.88 Median $38.90 Typical High $50.12 | Facility | None | $33.88 | $38.90 | $50.12 |
Denver HMP Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $66.07 | Professional | None | $29.51 | $41.69 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $58.88 Typical High $79.43 | Facility | None | $26.30 | $58.88 | $79.43 |
Select Health Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $42.66 | Professional | None | $25.12 | $32.36 | $42.66 |
United Setting Facility Modifier None Typical Low $162.18 Median $173.78 Typical High $194.98 | Facility | None | $162.18 | $173.78 | $194.98 |
United Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $69.18 | Professional | None | $32.36 | $42.66 | $69.18 |
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 $21.88 Median $28.18 Typical High $38.02 | Professional | HN · Bachelor's level | $21.88 | $28.18 | $38.02 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $21.88 Median $28.84 Typical High $38.02 | Professional | HO · Master's level | $21.88 | $28.84 | $38.02 |
Where Colorado sits
The same service costs 2.4 times more in Alaska than in Louisiana. 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
$38.90
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.