How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $30.20 | Professional | None | $16.22 | $16.22 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $83.18 | Facility | None | $38.90 | $38.90 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $41.69 | Professional | None | $23.99 | $38.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Denver HMP Setting Facility Modifier None Typical Low $16.22 Median $23.44 Typical High $47.86 | Facility | None | $16.22 | $23.44 | $47.86 |
Denver HMP Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $77.62 | Professional | None | $38.90 | $52.48 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $81.28 | Facility | None | $38.90 | $72.44 | $81.28 |
Select Health Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $67.61 | Professional | None | $33.88 | $38.90 | $67.61 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $37.15 | Professional | None | $22.39 | $22.39 | $37.15 |
1 more rate 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 $35.48 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $35.48 | $35.48 | $35.48 |
Where Colorado sits
The same service costs 3.2 times more in Illinois than in Oklahoma. 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· 50th of 51
$22.39
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.