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 $112.20 Median $151.36 Typical High $151.36 | Facility | None | $112.20 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $151.36 | Professional | None | $97.72 | $125.89 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $165.96 | Professional | None | $95.50 | $109.65 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $223.87 | Professional | None | $100.00 | $144.54 | $223.87 |
Denver HMP Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $194.98 | Facility | None | $131.83 | $151.36 | $194.98 |
Denver HMP Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $288.40 | Professional | None | $131.83 | $186.21 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $346.74 | Facility | None | $112.20 | $263.03 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $190.55 | Professional | None | $107.15 | $134.90 | $190.55 |
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 $107.15 Median $109.65 Typical High $144.54 | Professional | None | $107.15 | $109.65 | $144.54 |
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 $131.83 Median $151.36 Typical High $173.78 | Facility | AF · Specialist physician | $131.83 | $151.36 | $173.78 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $97.72 Median $112.20 Typical High $128.82 | Facility | HO · Master's level | $97.72 | $112.20 | $128.82 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $112.20 Median $128.82 Typical High $147.91 | Facility | TD · Registered nurse | $112.20 | $128.82 | $147.91 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | AF · Specialist physician | $131.83 | $151.36 | $162.18 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | HO · Master's level | $97.72 | $112.20 | $117.49 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $112.20 Median $123.03 Typical High $131.83 | Professional | TD · Registered nurse | $112.20 | $123.03 | $131.83 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $97.72 Median $123.03 Typical High $165.96 | Professional | HN · Bachelor's level | $97.72 | $123.03 | $165.96 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $97.72 Median $128.82 Typical High $165.96 | Professional | HO · Master's level | $97.72 | $128.82 | $165.96 |
Where Colorado sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 43rd of 51
$112
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.