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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | None | $51.29 | $51.29 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $223.87 Typical High $229.09 | Facility | None | $204.17 | $223.87 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $77.62 | Professional | None | $41.69 | $51.29 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $109.65 | Professional | None | $44.67 | $44.67 | $109.65 |
Denver HMP Setting Facility Modifier None Typical Low $30.90 Median $58.88 Typical High $131.83 | Facility | None | $30.90 | $58.88 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $208.93 | Professional | None | $79.43 | $138.04 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $194.98 Typical High $218.78 | Facility | None | $104.71 | $194.98 | $218.78 |
Select Health Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $147.91 | Professional | None | $81.28 | $104.71 | $147.91 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $69.18 | Professional | None | $41.69 | $45.71 | $69.18 |
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 $5.13 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $5.13 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $38.90 | $38.90 | $38.90 |
Where Colorado sits
The same service costs 2.3 times more in Montana than in New Mexico. 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· 46th of 51
$51.29
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.