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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | None | $165.96 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $380.19 | Professional | None | $208.93 | $275.42 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $208.93 Typical High $302.00 | Facility | None | $162.18 | $208.93 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $389.05 | Professional | None | $204.17 | $239.88 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $371.54 | Facility | None | $177.83 | $331.13 | $371.54 |
Select Health Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $281.84 | Professional | None | $154.88 | $194.98 | $281.84 |
United Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $371.54 | Professional | None | $190.55 | $251.19 | $371.54 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $83.18 | $104.71 | $104.71 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$245
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.