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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $245.47 | Professional | None | $229.09 | $245.47 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,258.93 | Facility | None | $426.58 | $467.74 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $575.44 | Professional | None | $169.82 | $234.42 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None | $181.97 | $181.97 | $251.19 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $524.81 | Facility | None | $123.03 | $245.47 | $524.81 |
Denver HMP Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $851.14 | Professional | None | $323.59 | $575.44 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $812.83 Typical High $933.25 | Facility | None | $446.68 | $812.83 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $616.60 | Professional | None | $309.03 | $446.68 | $616.60 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $288.40 | Professional | None | $173.78 | $190.55 | $288.40 |
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 $23.44 Median $234.42 Typical High $234.42 | Professional | RR · Rental | $23.44 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | UE · Used equipment | $173.78 | $173.78 | $173.78 |
Where Colorado sits
The same service costs 2.5 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· 28th of 51
$245
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.