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 $83.18 Median $83.18 Typical High $123.03 | Facility | None | $83.18 | $83.18 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $83.18 Typical High $83.18 | Professional | None | $38.02 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $436.52 | Facility | None | $144.54 | $158.49 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $147.91 | Professional | None | $44.67 | $72.44 | $147.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.24 Median $72.44 Typical High $95.50 | Professional | RR · Rental | $7.24 | $72.44 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Facility | None | $70.79 | $70.79 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | None | $51.29 | $51.29 | $74.13 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $83.18 Typical High $173.78 | Facility | None | $36.31 | $83.18 | $173.78 |
Denver HMP Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $302.00 | Professional | None | $112.20 | $194.98 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $316.23 | Facility | None | $151.36 | $281.84 | $316.23 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $190.55 | Professional | None | $104.71 | $151.36 | $190.55 |
United Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $67.61 | Facility | None | $52.48 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $85.11 | Professional | None | $51.29 | $56.23 | $85.11 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | UE · Used equipment | $53.70 | $53.70 | $53.70 |
Where Colorado sits
The same service costs 2.8 times more in Wyoming 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· 29th of 51
$72.44
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.