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 $77.62 Median $89.13 Typical High $131.83 | Facility | None | $77.62 | $89.13 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $89.13 Typical High $104.71 | Professional | None | $77.62 | $89.13 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $109.65 | Professional | None | $66.07 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $125.89 | Professional | None | $70.79 | $75.86 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $104.71 Typical High $147.91 | Facility | None | $97.72 | $104.71 | $147.91 |
Denver HMP Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $229.09 | Professional | None | $104.71 | $141.25 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $234.42 | Facility | None | $87.10 | $204.17 | $234.42 |
Select Health Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $151.36 | Professional | None | $87.10 | $109.65 | $151.36 |
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 $75.86 Median $91.20 Typical High $117.49 | Professional | None | $75.86 | $91.20 | $117.49 |
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 $104.71 Median $104.71 Typical High $120.23 | Facility | AF · Specialist physician | $104.71 | $104.71 | $120.23 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $77.62 Median $77.62 Typical High $89.13 | Facility | HO · Master's level | $77.62 | $77.62 | $89.13 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $87.10 Median $89.13 Typical High $102.33 | Facility | TD · Registered nurse | $87.10 | $89.13 | $102.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | AF · Specialist physician | $104.71 | $104.71 | $120.23 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $67.61 Median $77.62 Typical High $79.43 | Professional | HO · Master's level | $67.61 | $77.62 | $79.43 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $67.61 Median $89.13 Typical High $91.20 | Professional | TD · Registered nurse | $67.61 | $89.13 | $91.20 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $77.62 Median $95.50 Typical High $112.20 | Professional | HN · Bachelor's level | $77.62 | $95.50 | $112.20 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $77.62 Median $95.50 Typical High $112.20 | Professional | HO · Master's level | $77.62 | $95.50 | $112.20 |
Where Colorado sits
The same service costs 1.7 times more in Alaska 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
$87.10
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.