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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | None | $186.21 | $194.98 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $1,000.00 | Facility | None | $338.84 | $371.54 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $446.68 | Professional | None | $134.90 | $186.21 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $194.98 Typical High $416.87 | Facility | None | $97.72 | $194.98 | $416.87 |
Denver HMP Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $660.69 | Professional | None | $257.04 | $457.09 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $645.65 Typical High $741.31 | Facility | None | $354.81 | $645.65 | $741.31 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $489.78 | Professional | None | $245.47 | $354.81 | $489.78 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $229.09 | Professional | None | $138.04 | $151.36 | $229.09 |
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 $186.21 Typical High $186.21 | Professional | RR · Rental | $18.62 | $186.21 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | UE · Used equipment | $138.04 | $138.04 | $138.04 |
Where Colorado sits
The same service costs 4.8 times more in Kansas than in New Jersey. 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· 27th of 51
$195
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.