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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | None | $134.90 | $134.90 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $794.33 | Facility | None | $269.15 | $295.12 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $323.59 | Professional | None | $97.72 | $147.91 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
Denver HMP Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $309.03 | Facility | None | $77.62 | $154.88 | $309.03 |
Denver HMP Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $562.34 | Professional | None | $204.17 | $363.08 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $588.84 | Facility | None | $275.42 | $512.86 | $588.84 |
Select Health Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $346.74 | Professional | None | $194.98 | $275.42 | $346.74 |
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 $120.23 Typical High $186.21 | Professional | None | $109.65 | $120.23 | $186.21 |
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 $14.79 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $14.79 | $147.91 | $147.91 |
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 3.0 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· 46th of 51
$135
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.