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 $123.03 Median $165.96 Typical High $263.03 | Facility | None | $123.03 | $165.96 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $190.55 | Professional | None | $123.03 | $154.88 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $173.78 | Professional | None | $72.44 | $104.71 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $223.87 | Professional | None | $97.72 | $97.72 | $223.87 |
Denver HMP Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $245.47 | Facility | None | $165.96 | $190.55 | $245.47 |
Denver HMP Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $380.19 | Professional | None | $162.18 | $229.09 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $323.59 Typical High $436.52 | Facility | None | $141.25 | $323.59 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $239.88 | Professional | None | $134.90 | $177.83 | $239.88 |
United Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $933.25 | Facility | None | $776.25 | $812.83 | $933.25 |
United Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $199.53 | Professional | None | $147.91 | $151.36 | $199.53 |
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 $165.96 Median $190.55 Typical High $218.78 | Facility | AF · Specialist physician | $165.96 | $190.55 | $218.78 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $123.03 Median $144.54 Typical High $165.96 | Facility | HO · Master's level | $123.03 | $144.54 | $165.96 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $141.25 Median $162.18 Typical High $186.21 | Facility | TD · Registered nurse | $141.25 | $162.18 | $186.21 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $162.18 Median $169.82 Typical High $194.98 | Professional | AF · Specialist physician | $162.18 | $169.82 | $194.98 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $123.03 Median $141.25 Typical High $147.91 | Professional | HO · Master's level | $123.03 | $141.25 | $147.91 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $93.33 Median $141.25 Typical High $162.18 | Professional | TD · Registered nurse | $93.33 | $141.25 | $162.18 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $120.23 Median $154.88 Typical High $204.17 | Professional | HN · Bachelor's level | $120.23 | $154.88 | $204.17 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $120.23 Median $158.49 Typical High $204.17 | Professional | HO · Master's level | $120.23 | $158.49 | $204.17 |
Where Colorado sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 37th of 51
$145
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.