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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $44.67 | Professional | None | $23.44 | $23.44 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $45.71 Typical High $123.03 | Facility | None | $40.74 | $45.71 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $134.90 | Professional | None | $35.48 | $54.95 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None | $41.69 | $41.69 | $57.54 |
Denver HMP Setting Facility Modifier None Typical Low $23.44 Median $33.88 Typical High $89.13 | Facility | None | $23.44 | $33.88 | $89.13 |
Denver HMP Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $56.23 Typical High $89.13 | Professional | None | $32.36 | $56.23 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $89.13 | Facility | None | $42.66 | $79.43 | $89.13 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $85.11 | Professional | None | $44.67 | $74.13 | $85.11 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $67.61 | Professional | None | $33.11 | $44.67 | $67.61 |
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 $5.50 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $5.50 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
Where Colorado sits
The same service costs 3.2 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· 44th of 51
$42.66
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.