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 $199.53 Median $199.53 Typical High $309.03 | Facility | None | $199.53 | $199.53 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | None | $190.55 | $199.53 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $380.19 Typical High $1,047.13 | Facility | None | $346.74 | $380.19 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $467.74 | Professional | None | $141.25 | $190.55 | $467.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $19.95 Median $199.53 Typical High $229.09 | Professional | RR · Rental | $19.95 | $199.53 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
Denver HMP Setting Facility Modifier None Typical Low $102.33 Median $199.53 Typical High $426.58 | Facility | None | $102.33 | $199.53 | $426.58 |
Denver HMP Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $691.83 | Professional | None | $263.03 | $467.74 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $676.08 Typical High $758.58 | Facility | None | $363.08 | $676.08 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $512.86 | Professional | None | $257.04 | $363.08 | $512.86 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $234.42 | Professional | None | $141.25 | $158.49 | $234.42 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | UE · Used equipment | $144.54 | $144.54 | $144.54 |
Where Colorado sits
The same service costs 2.4 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· 31st of 51
$200
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.