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 $61.66 Median $83.18 Typical High $100.00 | Facility | None | $61.66 | $83.18 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $100.00 | Professional | None | $61.66 | $83.18 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $213.80 | Professional | None | $85.11 | $131.83 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $125.89 | Professional | None | $67.61 | $75.86 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $144.54 | Facility | None | $83.18 | $100.00 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $190.55 | Professional | None | $81.28 | $117.49 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $162.18 Typical High $223.87 | Facility | None | $70.79 | $162.18 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $117.49 | Professional | None | $67.61 | $87.10 | $117.49 |
United Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $537.03 | Facility | None | $446.68 | $467.74 | $537.03 |
United Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $213.80 | Professional | None | $95.50 | $128.82 | $213.80 |
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 $83.18 Median $100.00 Typical High $117.49 | Facility | AF · Specialist physician | $83.18 | $100.00 | $117.49 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $61.66 Median $75.86 Typical High $87.10 | Facility | HO · Master's level | $61.66 | $75.86 | $87.10 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $70.79 Median $85.11 Typical High $97.72 | Facility | TD · Registered nurse | $70.79 | $85.11 | $97.72 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $83.18 Median $100.00 Typical High $104.71 | Professional | AF · Specialist physician | $83.18 | $100.00 | $104.71 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $61.66 Median $70.79 Typical High $77.62 | Professional | HO · Master's level | $61.66 | $70.79 | $77.62 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $70.79 Median $81.28 Typical High $89.13 | Professional | TD · Registered nurse | $70.79 | $81.28 | $89.13 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $60.26 Median $79.43 Typical High $107.15 | Professional | HN · Bachelor's level | $60.26 | $79.43 | $107.15 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $79.43 Typical High $107.15 | Professional | HO · Master's level | $60.26 | $79.43 | $107.15 |
Where Colorado sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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
$83.18
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.