How much rates vary
Facilitymedian $178 · 10th to 90th $52 to $309Professionalmedian $195 · 10th to 90th $110 to $257
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | None | $125.89 | $125.89 | $208.93 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $95.50 Typical High $158.49 | Professional | UE · Used equipment | $81.28 | $95.50 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $223.87 | Professional | None | $194.98 | $223.87 | $223.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $19.50 Median $22.39 Typical High $22.39 | Professional | RR · Rental | $19.50 | $22.39 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $165.96 Typical High $165.96 | Professional | UE · Used equipment | $144.54 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | RR · Rental | $15.14 | $15.14 | $17.78 |
Denver HMP Setting Facility Modifier None Typical Low $28.84 Median $131.83 Typical High $309.03 | Facility | None | $28.84 | $131.83 | $309.03 |
Denver HMP Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $18.20 Median $28.18 Typical High $51.29 | Professional | RR · Rental | $18.20 | $28.18 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $54.95 Typical High $549.54 | Facility | None | $26.30 | $54.95 | $549.54 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $354.81 | Professional | None | $27.54 | $36.31 | $354.81 |
United Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $251.19 | Professional | None | $93.33 | $141.25 | $251.19 |
United Setting Professional Modifier RR · Rental Typical Low $9.77 Median $15.14 Typical High $26.92 | Professional | RR · Rental | $9.77 | $15.14 | $26.92 |
United Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $104.71 Typical High $190.55 | Professional | UE · Used equipment | $70.79 | $104.71 | $190.55 |
3 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 Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $104.71 | Professional | 52 · Reduced service | $63.10 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $41.69 | Professional | 53 · Discontinued | $25.12 | $25.12 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $31.62 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $31.62 |
Where Colorado sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 18th of 51
$195
KS $447IL $19.95
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.