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 $131.83 Median $131.83 Typical High $338.84 | Facility | None | $131.83 | $131.83 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $131.83 Typical High $154.88 | Professional | None | $125.89 | $131.83 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $691.83 | Facility | None | $229.09 | $257.04 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $309.03 | Professional | None | $93.33 | $131.83 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
Denver HMP Setting Facility Modifier None Typical Low $67.61 Median $131.83 Typical High $281.84 | Facility | None | $67.61 | $131.83 | $281.84 |
Denver HMP Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $457.09 | Professional | None | $177.83 | $316.23 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $501.19 | Facility | None | $239.88 | $446.68 | $501.19 |
Select Health Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $338.84 | Professional | None | $169.82 | $239.88 | $338.84 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $158.49 | Professional | None | $93.33 | $104.71 | $158.49 |
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 $13.18 Median $131.83 Typical High $151.36 | Professional | RR · Rental | $13.18 | $131.83 | $151.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | UE · Used equipment | $95.50 | $95.50 | $95.50 |
Where Colorado sits
The same service costs 2.3 times more in Hawaii 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
$132
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.