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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | None | $245.47 | $245.47 | $346.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | UE · Used equipment | $186.21 | $186.21 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $512.86 | Professional | None | $302.00 | $380.19 | $512.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $38.02 Typical High $51.29 | Professional | RR · Rental | $30.20 | $38.02 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | UE · Used equipment | $288.40 | $288.40 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | RR · Rental | $26.92 | $26.92 | $31.62 |
Denver HMP Setting Facility Modifier None Typical Low $15.14 Median $204.17 Typical High $354.81 | Facility | None | $15.14 | $204.17 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $346.74 | Professional | None | $154.88 | $154.88 | $346.74 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $42.66 Median $66.07 Typical High $97.72 | Professional | RR · Rental | $42.66 | $66.07 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $107.15 | Facility | None | $51.29 | $93.33 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $75.86 | Professional | None | $46.77 | $51.29 | $75.86 |
Select Health Setting Professional Modifier RR · Rental Typical Low $46.77 Median $51.29 Typical High $75.86 | Professional | RR · Rental | $46.77 | $51.29 | $75.86 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $51.29 | Professional | None | $22.91 | $22.91 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $23.99 Typical High $51.29 | Professional | RR · Rental | $22.91 | $23.99 | $51.29 |
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 |
|---|---|---|---|---|---|
Select Health Setting Professional Modifier MS · Maintenance fee Typical Low $46.77 Median $89.13 Typical High $138.04 | Professional | MS · Maintenance fee | $46.77 | $89.13 | $138.04 |
Where Colorado sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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· 10th of 51
$295
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.