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 $10.00 Median $10.00 Typical High $20.42 | Facility | None | $10.00 | $10.00 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $20.42 | Professional | None | $9.12 | $14.45 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.62 Typical High $10.00 | Professional | 52 · Reduced service | $4.68 | $5.62 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $19.50 Typical High $36.31 | Professional | None | $10.96 | $19.50 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Denver HMP Setting Facility Modifier None Typical Low $10.00 Median $18.20 Typical High $32.36 | Facility | None | $10.00 | $18.20 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $18.62 Typical High $33.11 | Professional | None | $9.77 | $18.62 | $33.11 |
Select Health Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $40.74 | Facility | None | $16.22 | $19.50 | $40.74 |
Select Health Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $19.50 | Professional | None | $7.59 | $10.47 | $19.50 |
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 $10.47 Median $17.38 Typical High $28.18 | Professional | None | $10.47 | $17.38 | $28.18 |
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 $6.03 Median $8.71 Typical High $18.62 | Professional | HO · Master's level | $6.03 | $8.71 | $18.62 |
Where Colorado sits
The same service costs 2.3 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· 12th of 51
$17.78
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.