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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $91.20 | Professional | None | $79.43 | $83.18 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $436.52 | Facility | None | $144.54 | $158.49 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $229.09 | Professional | None | $67.61 | $89.13 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None | $85.11 | $85.11 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $45.71 Median $83.18 Typical High $177.83 | Facility | None | $45.71 | $83.18 | $177.83 |
Denver HMP Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $309.03 | Professional | None | $114.82 | $194.98 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $316.23 | Facility | None | $151.36 | $281.84 | $316.23 |
Select Health Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $190.55 | Professional | None | $107.15 | $151.36 | $190.55 |
United Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $89.13 | Facility | None | $72.44 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $107.15 | Professional | None | $64.57 | $70.79 | $107.15 |
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 $8.51 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $8.51 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | UE · Used equipment | $64.57 | $64.57 | $64.57 |
Where Colorado sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 34th of 51
$85.11
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.