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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | None | $407.38 | $407.38 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $891.25 Typical High $2,398.83 | Facility | None | $794.33 | $891.25 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $1,071.52 | Professional | None | $295.12 | $436.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $1,000.00 | Facility | None | $245.47 | $467.74 | $1,000.00 |
Denver HMP Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $1,096.48 Typical High $1,659.59 | Professional | None | $588.84 | $1,096.48 | $1,659.59 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $1,737.80 | Facility | None | $831.76 | $1,548.82 | $1,737.80 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,174.90 | Professional | None | $588.84 | $831.76 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $562.34 | Professional | None | $323.59 | $363.08 | $562.34 |
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 $43.65 Median $436.52 Typical High $436.52 | Professional | RR · Rental | $43.65 | $436.52 | $436.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | UE · Used equipment | $331.13 | $331.13 | $331.13 |
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· 46th of 51
$407
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.