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 $0.44 Median $0.44 Typical High $0.44 | Facility | None | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier None Typical Low $0.44 Median $0.44 Typical High $0.78 | Professional | None | $0.44 | $0.44 | $0.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.50 Median $0.50 Typical High $1.70 | Professional | None | $0.50 | $0.50 | $1.70 |
Cigna Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.76 | Facility | None | $0.62 | $0.62 | $0.76 |
Cigna Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.62 | Professional | None | $0.52 | $0.52 | $0.62 |
Denver HMP Setting Facility Modifier None Typical Low $0.32 Median $0.63 Typical High $1.45 | Facility | None | $0.32 | $0.63 | $1.45 |
Denver HMP Setting Professional Modifier None Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | None | $0.32 | $0.32 | $0.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.87 Median $1.35 Typical High $2.04 | Professional | None | $0.87 | $1.35 | $2.04 |
Select Health Setting Facility Modifier None Typical Low $1.05 Median $1.91 Typical High $2.19 | Facility | None | $1.05 | $1.91 | $2.19 |
Select Health Setting Professional Modifier None Typical Low $0.91 Median $1.05 Typical High $1.55 | Professional | None | $0.91 | $1.05 | $1.55 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.43 Typical High $0.66 | Professional | None | $0.38 | $0.43 | $0.66 |
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 $0.09 Median $0.50 Typical High $0.83 | Professional | RR · Rental | $0.09 | $0.50 | $0.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.37 Median $0.38 Typical High $0.50 | Professional | UE · Used equipment | $0.37 | $0.38 | $0.50 |
Where Colorado sits
The same service costs 2.7 times more in Kansas than in Connecticut. 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· 40th of 51
$0.52
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.