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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | None | $66.07 | $66.07 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $389.05 | Facility | None | $131.83 | $144.54 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $234.42 | Professional | None | $52.48 | $100.00 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Denver HMP Setting Facility Modifier None Typical Low $38.02 Median $74.13 Typical High $162.18 | Facility | None | $38.02 | $74.13 | $162.18 |
Denver HMP Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $173.78 Typical High $269.15 | Professional | None | $95.50 | $173.78 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $251.19 Typical High $288.40 | Facility | None | $134.90 | $251.19 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $190.55 | Professional | None | $95.50 | $134.90 | $190.55 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $91.20 | Professional | None | $53.70 | $58.88 | $91.20 |
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 $23.44 Median $234.42 Typical High $234.42 | Professional | RR · Rental | $23.44 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | UE · Used equipment | $177.83 | $177.83 | $177.83 |
Where Colorado sits
The same service costs 2.0 times more in Montana than in Kentucky. 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· 38th of 51
$89.13
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.