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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $60.26 | Professional | None | $28.84 | $38.02 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $190.55 Typical High $194.98 | Facility | None | $173.78 | $190.55 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $117.49 | Professional | None | $31.62 | $57.54 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | None | $43.65 | $43.65 | $72.44 |
Denver HMP Setting Facility Modifier None Typical Low $25.70 Median $54.95 Typical High $112.20 | Facility | None | $25.70 | $54.95 | $112.20 |
Denver HMP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $186.21 | Professional | None | $66.07 | $117.49 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $190.55 | Facility | None | $91.20 | $165.96 | $190.55 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $125.89 | Professional | None | $72.44 | $91.20 | $125.89 |
United Setting Professional Modifier None Typical Low $36.31 Median $39.81 Typical High $63.10 | Professional | None | $36.31 | $39.81 | $63.10 |
2 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $6.17 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $43.65 | $43.65 | $43.65 |
Where Colorado sits
The same service costs 2.2 times more in Idaho than in Colorado. 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· 51st of 51
$43.65
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.