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 $204.17 Median $204.17 Typical High $524.81 | Facility | None | $204.17 | $204.17 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $213.80 | Professional | None | $165.96 | $204.17 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $389.05 Typical High $1,071.52 | Facility | None | $354.81 | $389.05 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $407.38 | Professional | None | $123.03 | $186.21 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $245.47 | Professional | None | $158.49 | $158.49 | $245.47 |
Denver HMP Setting Facility Modifier None Typical Low $100.00 Median $204.17 Typical High $407.38 | Facility | None | $100.00 | $204.17 | $407.38 |
Denver HMP Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $707.95 | Professional | None | $269.15 | $478.63 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $676.08 Typical High $776.25 | Facility | None | $371.54 | $676.08 | $776.25 |
Select Health Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $457.09 | Professional | None | $257.04 | $371.54 | $457.09 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $234.42 | Professional | None | $138.04 | $154.88 | $234.42 |
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 $18.62 Median $190.55 Typical High $190.55 | Professional | RR · Rental | $18.62 | $190.55 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | UE · Used equipment | $141.25 | $141.25 | $141.25 |
Where Colorado sits
The same service costs 3.4 times more in Hawaii than in Alabama. 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· 28th of 51
$204
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.