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 $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $11,220.18 | Professional | None | $10,715.19 | $10,715.19 | $11,220.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $20,892.96 Median $22,908.68 Typical High $63,095.73 | Facility | None | $20,892.96 | $22,908.68 | $63,095.73 |
Anthem BCBS Setting Professional Modifier None Typical Low $9,549.93 Median $11,220.18 Typical High $27,542.29 | Professional | None | $9,549.93 | $11,220.18 | $27,542.29 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None | $9,332.54 | $9,332.54 | $12,882.50 |
Denver HMP Setting Facility Modifier None Typical Low $6,309.57 Median $12,022.64 Typical High $25,703.96 | Facility | None | $6,309.57 | $12,022.64 | $25,703.96 |
Denver HMP Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None | $6,309.57 | $6,309.57 | $6,309.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15,135.61 Median $28,183.83 Typical High $43,651.58 | Professional | None | $15,135.61 | $28,183.83 | $43,651.58 |
Select Health Setting Facility Modifier None Typical Low $21,877.62 Median $39,810.72 Typical High $45,708.82 | Facility | None | $21,877.62 | $39,810.72 | $45,708.82 |
Select Health Setting Professional Modifier None Typical Low $15,135.61 Median $21,877.62 Typical High $30,199.52 | Professional | None | $15,135.61 | $21,877.62 | $30,199.52 |
United Setting Facility Modifier None Typical Low $30,902.95 Median $30,902.95 Typical High $30,902.95 | Facility | None | $30,902.95 | $30,902.95 | $30,902.95 |
United Setting Professional Modifier None Typical Low $8,511.38 Median $9,332.54 Typical High $14,454.40 | Professional | None | $8,511.38 | $9,332.54 | $14,454.40 |
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 $1,122.02 Median $11,220.18 Typical High $11,220.18 | Professional | RR · Rental | $1,122.02 | $11,220.18 | $11,220.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | UE · Used equipment | $8,511.38 | $8,511.38 | $8,511.38 |
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· 45th of 51
$10,715
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.