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 $10.72 Median $12.30 Typical High $14.45 | Facility | None | $10.72 | $12.30 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $14.45 | Professional | None | $9.33 | $12.30 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $30.20 | Professional | None | $12.30 | $19.95 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $15.85 | Professional | None | $2.82 | $4.27 | $15.85 |
Denver HMP Setting Facility Modifier None Typical Low $12.30 Median $14.45 Typical High $18.20 | Facility | None | $12.30 | $14.45 | $18.20 |
Denver HMP Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $27.54 | Professional | None | $11.75 | $16.98 | $27.54 |
Select Health Setting Facility Modifier None Typical Low $10.47 Median $23.99 Typical High $31.62 | Facility | None | $10.47 | $23.99 | $31.62 |
Select Health Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $17.38 | Professional | None | $10.00 | $12.88 | $17.38 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $12.30 Median $14.45 Typical High $16.60 | Facility | AF · Specialist physician | $12.30 | $14.45 | $16.60 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $9.33 Median $10.72 Typical High $12.30 | Facility | HO · Master's level | $9.33 | $10.72 | $12.30 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $10.47 Median $12.30 Typical High $14.13 | Facility | TD · Registered nurse | $10.47 | $12.30 | $14.13 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $12.30 Median $13.49 Typical High $14.79 | Professional | AF · Specialist physician | $12.30 | $13.49 | $14.79 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $9.33 Median $10.23 Typical High $11.22 | Professional | HO · Master's level | $9.33 | $10.23 | $11.22 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $10.47 Median $11.48 Typical High $12.59 | Professional | TD · Registered nurse | $10.47 | $11.48 | $12.59 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $8.91 Median $11.22 Typical High $15.14 | Professional | HN · Bachelor's level | $8.91 | $11.22 | $15.14 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $8.91 Median $11.75 Typical High $15.14 | Professional | HO · Master's level | $8.91 | $11.75 | $15.14 |
Where Colorado sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 40th of 51
$11.22
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.