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 $154.88 Median $154.88 Typical High $239.88 | Facility | None | $154.88 | $154.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $234.42 | Professional | None | $147.91 | $154.88 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $812.83 | Facility | None | $269.15 | $302.00 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $363.08 | Professional | None | $107.15 | $151.36 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None | $97.72 | $97.72 | $134.90 |
Denver HMP Setting Facility Modifier None Typical Low $79.43 Median $154.88 Typical High $331.13 | Facility | None | $79.43 | $154.88 | $331.13 |
Denver HMP Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $354.81 Typical High $537.03 | Professional | None | $204.17 | $354.81 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $588.84 | Facility | None | $281.84 | $524.81 | $588.84 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $398.11 | Professional | None | $199.53 | $281.84 | $398.11 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $181.97 | Professional | None | $109.65 | $123.03 | $181.97 |
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 $15.14 Median $151.36 Typical High $177.83 | Professional | RR · Rental | $15.14 | $151.36 | $177.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | UE · Used equipment | $112.20 | $112.20 | $112.20 |
Where Colorado sits
The same service costs 2.3 times more in Kansas 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
$155
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.