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 $107.15 Median $107.15 Typical High $162.18 | Facility | None | $107.15 | $107.15 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $120.23 | Professional | None | $102.33 | $107.15 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $562.34 | Facility | None | $190.55 | $208.93 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $251.19 | Professional | None | $75.86 | $107.15 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $123.03 | Facility | None | $107.15 | $107.15 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $123.03 | Professional | None | $77.62 | $77.62 | $123.03 |
Denver HMP Setting Facility Modifier None Typical Low $54.95 Median $107.15 Typical High $234.42 | Facility | None | $54.95 | $107.15 | $234.42 |
Denver HMP Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $371.54 | Professional | None | $147.91 | $251.19 | $371.54 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $416.87 | Facility | None | $194.98 | $363.08 | $416.87 |
Select Health Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $275.42 | Professional | None | $138.04 | $194.98 | $275.42 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $128.82 | Professional | None | $77.62 | $85.11 | $128.82 |
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 $10.72 Median $107.15 Typical High $123.03 | Professional | RR · Rental | $10.72 | $107.15 | $123.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | UE · Used equipment | $77.62 | $77.62 | $77.62 |
Where Colorado sits
The same service costs 2.3 times more in Iowa 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· 35th of 51
$107
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.