How much rates vary
Facilitymedian $145 · 10th to 90th $107 to $200Professionalmedian $123 · 10th to 90th $98 to $162
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 $107.15 Median $144.54 Typical High $169.82 | Facility | None | $107.15 | $144.54 | $169.82 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $66.07 Median $70.79 Typical High $83.18 | Facility | 52 · Reduced service | $66.07 | $70.79 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $33.11 | Facility | 53 · Discontinued | $26.30 | $28.84 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $144.54 | Professional | None | $97.72 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $26.30 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $275.42 | Professional | None | $125.89 | $177.83 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $245.47 | Professional | None | $104.71 | $158.49 | $245.47 |
Denver HMP Setting Facility Modifier None Typical Low $128.82 Median $144.54 Typical High $186.21 | Facility | None | $128.82 | $144.54 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $239.88 | Professional | None | $107.15 | $151.36 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $213.80 Typical High $269.15 | Facility | None | $100.00 | $213.80 | $269.15 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $169.82 | Professional | None | $100.00 | $125.89 | $169.82 |
United Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $676.08 | Facility | None | $562.34 | $588.84 | $676.08 |
United Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $162.18 | Professional | None | $97.72 | $97.72 | $162.18 |
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 $144.54 Typical High $165.96 | Facility | AF · Specialist physician | $131.83 | $144.54 | $165.96 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $97.72 Median $107.15 Typical High $123.03 | Facility | HO · Master's level | $97.72 | $107.15 | $123.03 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $112.20 Median $123.03 Typical High $141.25 | Facility | TD · Registered nurse | $112.20 | $123.03 | $141.25 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $131.83 Median $144.54 Typical High $147.91 | Professional | AF · Specialist physician | $131.83 | $144.54 | $147.91 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $97.72 Median $107.15 Typical High $109.65 | Professional | HO · Master's level | $97.72 | $107.15 | $109.65 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $112.20 Median $123.03 Typical High $125.89 | Professional | TD · Registered nurse | $112.20 | $123.03 | $125.89 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $81.28 Median $97.72 Typical High $128.82 | Professional | HN · Bachelor's level | $81.28 | $97.72 | $128.82 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $81.28 Median $104.71 Typical High $128.82 | Professional | HO · Master's level | $81.28 | $104.71 | $128.82 |
Where Colorado sits
The same service costs 2.4 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· 37th of 51
$123
AK $245OH $102
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.