How much rates vary
Facilitymedian $59 · 10th to 90th $46 to $79Professionalmedian $51 · 10th to 90th $41 to $76
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 $44.67 Median $45.71 Typical High $70.79 | Facility | None | $44.67 | $45.71 | $70.79 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $26.92 Median $30.20 Typical High $34.67 | Facility | 52 · Reduced service | $26.92 | $30.20 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $13.80 | Facility | 53 · Discontinued | $10.72 | $12.02 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $60.26 | Professional | None | $40.74 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $26.92 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $12.02 | Professional | 53 · Discontinued | $10.72 | $11.48 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $125.89 | Professional | None | $57.54 | $81.28 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $112.20 | Professional | None | $48.98 | $72.44 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $53.70 Median $60.26 Typical High $79.43 | Facility | None | $53.70 | $60.26 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $102.33 | Professional | None | $45.71 | $64.57 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $91.20 Typical High $120.23 | Facility | None | $41.69 | $91.20 | $120.23 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $72.44 | Professional | None | $40.74 | $52.48 | $72.44 |
United Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $125.89 | Professional | None | $57.54 | $77.62 | $125.89 |
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 $53.70 Median $60.26 Typical High $69.18 | Facility | AF · Specialist physician | $53.70 | $60.26 | $69.18 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $40.74 Median $44.67 Typical High $52.48 | Facility | HO · Master's level | $40.74 | $44.67 | $52.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $45.71 Median $51.29 Typical High $58.88 | Facility | TD · Registered nurse | $45.71 | $51.29 | $58.88 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $53.70 Median $60.26 Typical High $61.66 | Professional | AF · Specialist physician | $53.70 | $60.26 | $61.66 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $40.74 Median $44.67 Typical High $46.77 | Professional | HO · Master's level | $40.74 | $44.67 | $46.77 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $45.71 Median $51.29 Typical High $52.48 | Professional | TD · Registered nurse | $45.71 | $51.29 | $52.48 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $33.88 Median $42.66 Typical High $57.54 | Professional | HN · Bachelor's level | $33.88 | $42.66 | $57.54 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $33.88 Median $44.67 Typical High $57.54 | Professional | HO · Master's level | $33.88 | $44.67 | $57.54 |
Where Colorado sits
The same service costs 2.6 times more in Alaska 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· 41st of 51
$51.29
AK $110AZ $42.66
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.