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 $169.82 Median $263.03 Typical High $426.58 | Facility | None | $169.82 | $263.03 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $199.53 | Professional | None | $158.49 | $169.82 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $870.96 | Facility | None | $295.12 | $323.59 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $398.11 | Professional | None | $117.49 | $165.96 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Denver HMP Setting Facility Modifier None Typical Low $85.11 Median $169.82 Typical High $363.08 | Facility | None | $85.11 | $169.82 | $363.08 |
Denver HMP Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $398.11 Typical High $575.44 | Professional | None | $223.87 | $398.11 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $562.34 Typical High $645.65 | Facility | None | $309.03 | $562.34 | $645.65 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $426.58 | Professional | None | $213.80 | $309.03 | $426.58 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $199.53 | Professional | None | $120.23 | $131.83 | $199.53 |
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 $16.60 Median $165.96 Typical High $194.98 | Professional | RR · Rental | $16.60 | $165.96 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | UE · Used equipment | $120.23 | $120.23 | $120.23 |
Where Colorado sits
The same service costs 2.3 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· 30th of 51
$170
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.