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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $63.10 | Professional | None | $27.54 | $27.54 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $52.48 Typical High $144.54 | Facility | None | $47.86 | $52.48 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $63.10 Typical High $141.25 | Professional | None | $36.31 | $63.10 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $63.10 Typical High $83.18 | Professional | RR · Rental | $6.31 | $63.10 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $77.62 | Professional | None | $48.98 | $48.98 | $77.62 |
Denver HMP Setting Facility Modifier None Typical Low $27.54 Median $38.90 Typical High $112.20 | Facility | None | $27.54 | $38.90 | $112.20 |
Denver HMP Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $104.71 | Professional | None | $38.02 | $64.57 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $104.71 | Facility | None | $50.12 | $93.33 | $104.71 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $107.15 | Professional | None | $52.48 | $93.33 | $107.15 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $77.62 | Professional | None | $39.81 | $51.29 | $77.62 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $47.86 | $47.86 | $47.86 |
Where Colorado sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 42nd of 51
$50.12
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.