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 $0.14 Median $0.14 Typical High $0.22 | Facility | None | $0.14 | $0.14 | $0.22 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.22 Typical High $0.23 | Professional | None | $0.14 | $0.22 | $0.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.20 Median $0.21 Typical High $0.69 | Professional | None | $0.20 | $0.21 | $0.69 |
Cigna Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $0.39 | Facility | None | $0.31 | $0.31 | $0.39 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.39 | Professional | None | $0.26 | $0.26 | $0.39 |
Denver HMP Setting Facility Modifier None Typical Low $0.14 Median $0.31 Typical High $0.65 | Facility | None | $0.14 | $0.31 | $0.65 |
Denver HMP Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | None | $0.14 | $0.14 | $0.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.36 Median $0.68 Typical High $1.07 | Professional | None | $0.36 | $0.68 | $1.07 |
Select Health Setting Facility Modifier None Typical Low $0.52 Median $0.95 Typical High $1.10 | Facility | None | $0.52 | $0.95 | $1.10 |
Select Health Setting Professional Modifier None Typical Low $0.42 Median $0.52 Typical High $0.72 | Professional | None | $0.42 | $0.52 | $0.72 |
United Setting Professional Modifier None Typical Low $0.19 Median $0.22 Typical High $0.34 | Professional | None | $0.19 | $0.22 | $0.34 |
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 $0.21 Median $0.21 Typical High $0.21 | Professional | RR · Rental | $0.21 | $0.21 | $0.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.15 Median $0.15 Typical High $0.20 | Professional | UE · Used equipment | $0.15 | $0.15 | $0.20 |
Where Colorado sits
The same service costs 17.0 times more in Kansas than in New Hampshire. 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· 42nd of 51
$0.26
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.