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 $58.88 Median $69.18 Typical High $107.15 | Facility | None | $58.88 | $69.18 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $79.43 | Professional | None | $52.48 | $66.07 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $75.86 | Professional | None | $36.31 | $51.29 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $81.28 | Professional | None | $43.65 | $50.12 | $81.28 |
Denver HMP Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $104.71 | Facility | None | $69.18 | $79.43 | $104.71 |
Denver HMP Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $162.18 | Professional | None | $70.79 | $102.33 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $141.25 Typical High $186.21 | Facility | None | $58.88 | $141.25 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $102.33 | Professional | None | $58.88 | $72.44 | $102.33 |
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 $56.23 Median $58.88 Typical High $77.62 | Professional | None | $56.23 | $58.88 | $77.62 |
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 $69.18 Median $79.43 Typical High $91.20 | Facility | AF · Specialist physician | $69.18 | $79.43 | $91.20 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $52.48 Median $60.26 Typical High $69.18 | Facility | HO · Master's level | $52.48 | $60.26 | $69.18 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $58.88 Median $67.61 Typical High $77.62 | Facility | TD · Registered nurse | $58.88 | $67.61 | $77.62 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $69.18 Median $72.44 Typical High $81.28 | Professional | AF · Specialist physician | $69.18 | $72.44 | $81.28 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $52.48 Median $60.26 Typical High $61.66 | Professional | HO · Master's level | $52.48 | $60.26 | $61.66 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $58.88 Median $67.61 Typical High $70.79 | Professional | TD · Registered nurse | $58.88 | $67.61 | $70.79 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $52.48 Median $67.61 Typical High $87.10 | Professional | HN · Bachelor's level | $52.48 | $67.61 | $87.10 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $52.48 Median $70.79 Typical High $87.10 | Professional | HO · Master's level | $52.48 | $70.79 | $87.10 |
Where Colorado sits
The same service costs 1.9 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· 41st of 51
$58.88
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.