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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.72 | Professional | None | $10.23 | $10.23 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $21.88 Typical High $60.26 | Facility | None | $19.95 | $21.88 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $26.92 | Professional | None | $8.13 | $10.96 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | None | $9.55 | $9.55 | $11.22 |
Denver HMP Setting Facility Modifier None Typical Low $5.75 Median $11.48 Typical High $24.55 | Facility | None | $5.75 | $11.48 | $24.55 |
Denver HMP Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $43.65 | Professional | None | $15.49 | $26.92 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $20.89 Median $38.90 Typical High $43.65 | Facility | None | $20.89 | $38.90 | $43.65 |
Select Health Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $28.84 | Professional | None | $14.45 | $20.89 | $28.84 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $13.80 | Professional | None | $8.13 | $8.91 | $13.80 |
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 $1.10 Median $10.96 Typical High $10.96 | Professional | RR · Rental | $1.10 | $10.96 | $10.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | UE · Used equipment | $8.32 | $8.32 | $8.32 |
Where Colorado sits
The same service costs 2.3 times more in Montana than in Hawaii. 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· 44th of 51
$10.23
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.