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 $72.44 Median $85.11 Typical High $131.83 | Facility | None | $72.44 | $85.11 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $100.00 | Professional | None | $64.57 | $85.11 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $190.55 | Professional | None | $83.18 | $120.23 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $109.65 | Professional | None | $67.61 | $97.72 | $109.65 |
Denver HMP Setting Facility Modifier None Typical Low $85.11 Median $100.00 Typical High $134.90 | Facility | None | $85.11 | $100.00 | $134.90 |
Denver HMP Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $169.82 | Professional | None | $72.44 | $107.15 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $144.54 Typical High $204.17 | Facility | None | $66.07 | $144.54 | $204.17 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $123.03 | Professional | None | $66.07 | $89.13 | $123.03 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,122.02 | Facility | None | $933.25 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $141.25 | Professional | None | $91.20 | $95.50 | $141.25 |
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 $85.11 Median $100.00 Typical High $114.82 | Facility | AF · Specialist physician | $85.11 | $100.00 | $114.82 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $64.57 Median $75.86 Typical High $87.10 | Facility | HO · Master's level | $64.57 | $75.86 | $87.10 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $72.44 Median $85.11 Typical High $97.72 | Facility | TD · Registered nurse | $72.44 | $85.11 | $97.72 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $85.11 Median $93.33 Typical High $102.33 | Professional | AF · Specialist physician | $85.11 | $93.33 | $102.33 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $64.57 Median $74.13 Typical High $77.62 | Professional | HO · Master's level | $64.57 | $74.13 | $77.62 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $72.44 Median $83.18 Typical High $87.10 | Professional | TD · Registered nurse | $72.44 | $83.18 | $87.10 |
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $54.95 Median $72.44 Typical High $95.50 | Professional | HN · Bachelor's level | $54.95 | $72.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $54.95 Median $72.44 Typical High $95.50 | Professional | HO · Master's level | $54.95 | $72.44 | $95.50 |
Where Colorado sits
The same service costs 2.2 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· 40th of 51
$85.11
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.