How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $47.86 Median $47.86 Typical High $70.79 | Facility | None | $47.86 | $47.86 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $70.79 | Professional | None | $46.77 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $35.48 | Professional | 52 · Reduced service | $23.99 | $23.99 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $128.82 | Professional | None | $50.12 | $74.13 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $97.72 | Professional | None | $61.66 | $61.66 | $97.72 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $64.57 Typical High $91.20 | Facility | None | $43.65 | $64.57 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $114.82 | Professional | None | $38.90 | $69.18 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $144.54 | Facility | None | $69.18 | $69.18 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $69.18 | Professional | None | $31.62 | $44.67 | $69.18 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $120.23 | Professional | None | $52.48 | $74.13 | $120.23 |
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 $28.84 Median $40.74 Typical High $61.66 | Professional | HN · Bachelor's level | $28.84 | $40.74 | $61.66 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $28.84 Median $40.74 Typical High $67.61 | Professional | HO · Master's level | $28.84 | $40.74 | $67.61 |
Where Colorado sits
The same service costs 2.5 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· 9th of 51
$69.18
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.