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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,148.15 | Professional | None | $549.54 | $549.54 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | RR · Rental | $54.95 | $54.95 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $851.14 | Professional | UE · Used equipment | $380.19 | $380.19 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Cigna Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Denver HMP Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $851.14 | Facility | None | $602.56 | $602.56 | $851.14 |
Denver HMP Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $346.74 | Professional | None | $30.90 | $30.90 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $13.18 Median $1,548.82 Typical High $1,819.70 | Professional | None | $13.18 | $1,548.82 | $1,819.70 |
Select Health Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | RR · Rental | $13.18 | $13.18 | $15.49 |
United Setting Professional Modifier None Typical Low $39.81 Median $416.87 Typical High $467.74 | Professional | None | $39.81 | $416.87 | $467.74 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | MS · Maintenance fee | $60.26 | $60.26 | $60.26 |
Where Colorado sits
The same service costs 51.3 times more in Minnesota than in Nebraska. 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· 42nd of 51
$603
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.