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 $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Professional | None | $0.02 | $0.02 | $0.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.11 | Professional | None | $0.03 | $0.03 | $0.11 |
Cigna Setting Facility Modifier None Typical Low $0.03 Median $0.03 Typical High $0.04 | Facility | None | $0.03 | $0.03 | $0.04 |
Cigna Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | None | $0.03 | $0.03 | $0.04 |
Denver HMP Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.08 | Facility | None | $0.02 | $0.03 | $0.08 |
Denver HMP Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.04 Median $0.07 Typical High $0.10 | Professional | None | $0.04 | $0.07 | $0.10 |
Select Health Setting Facility Modifier None Typical Low $0.05 Median $0.09 Typical High $0.11 | Facility | None | $0.05 | $0.09 | $0.11 |
Select Health Setting Professional Modifier None Typical Low $0.04 Median $0.05 Typical High $0.07 | Professional | None | $0.04 | $0.05 | $0.07 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Professional | None | $0.02 | $0.02 | $0.04 |
1 more rate 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 UE · Used equipment Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | UE · Used equipment | $0.02 | $0.02 | $0.02 |
Where Colorado sits
The same service costs 1.7 times more in South Carolina than in New Jersey. 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· 34th of 51
$0.03
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.