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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $380.19 | Professional | None | $309.03 | $309.03 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $1,621.81 | Facility | None | $537.03 | $602.56 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $724.44 | Professional | None | $281.84 | $302.00 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $380.19 | Facility | None | $371.54 | $371.54 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $660.69 | Facility | None | $263.03 | $354.81 | $660.69 |
Denver HMP Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $724.44 Typical High $1,071.52 | Professional | None | $398.11 | $724.44 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,174.90 | Facility | None | $562.34 | $1,047.13 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $794.33 | Professional | None | $398.11 | $562.34 | $794.33 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $398.11 | Professional | None | $234.42 | $245.47 | $398.11 |
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 $30.20 Median $302.00 Typical High $389.05 | Professional | RR · Rental | $30.20 | $302.00 | $389.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
Where Colorado sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 36th of 51
$309
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.