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 $8.51 Median $8.51 Typical High $9.33 | Facility | None | $8.51 | $8.51 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $9.77 | Professional | None | $8.51 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.68 Typical High $4.79 | Professional | 52 · Reduced service | $4.27 | $4.68 | $4.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.22 | Professional | None | $12.02 | $12.02 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $19.50 | Professional | None | $11.75 | $11.75 | $19.50 |
Denver HMP Setting Facility Modifier None Typical Low $8.51 Median $9.33 Typical High $15.49 | Facility | None | $8.51 | $9.33 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $22.91 | Professional | None | $10.23 | $14.45 | $22.91 |
Select Health Setting Facility Modifier None Typical Low $9.55 Median $20.42 Typical High $27.54 | Facility | None | $9.55 | $20.42 | $27.54 |
Select Health Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $31.62 | Professional | None | $9.55 | $12.88 | $31.62 |
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 $11.75 Median $15.85 Typical High $25.70 | Professional | None | $11.75 | $15.85 | $25.70 |
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 $7.59 Median $9.77 Typical High $12.88 | Professional | HN · Bachelor's level | $7.59 | $9.77 | $12.88 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $7.59 Median $10.00 Typical High $12.88 | Professional | HO · Master's level | $7.59 | $10.00 | $12.88 |
Where Colorado sits
The same service costs 6.3 times more in Alaska than in Arizona. 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· 46th of 51
$9.33
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.