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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $112.20 | Professional | None | $104.71 | $109.65 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $213.80 Typical High $575.44 | Facility | None | $194.98 | $213.80 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $257.04 | Professional | None | $75.86 | $104.71 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | None | $81.28 | $81.28 | $112.20 |
Denver HMP Setting Facility Modifier None Typical Low $56.23 Median $109.65 Typical High $239.88 | Facility | None | $56.23 | $109.65 | $239.88 |
Denver HMP Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $380.19 | Professional | None | $151.36 | $263.03 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $371.54 Typical High $426.58 | Facility | None | $199.53 | $371.54 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $281.84 | Professional | None | $141.25 | $199.53 | $281.84 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $131.83 | Professional | None | $79.43 | $87.10 | $131.83 |
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 $10.47 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $10.47 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | UE · Used equipment | $79.43 | $79.43 | $79.43 |
Where Colorado sits
The same service costs 2.6 times more in Montana than in Delaware. 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· 32nd of 51
$110
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.