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 $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $3.31 | Professional | None | $1.86 | $1.86 | $3.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.24 Median $2.14 Typical High $5.75 | Professional | None | $0.24 | $2.14 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Denver HMP Setting Facility Modifier None Typical Low $1.38 Median $2.63 Typical High $7.41 | Facility | None | $1.38 | $2.63 | $7.41 |
Denver HMP Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.80 Median $5.75 Typical High $8.71 | Professional | None | $3.80 | $5.75 | $8.71 |
Select Health Setting Facility Modifier None Typical Low $4.47 Median $8.13 Typical High $9.33 | Facility | None | $4.47 | $8.13 | $9.33 |
Select Health Setting Professional Modifier None Typical Low $3.89 Median $4.47 Typical High $6.61 | Professional | None | $3.89 | $4.47 | $6.61 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.82 Typical High $2.88 | Professional | None | $1.66 | $1.82 | $2.88 |
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 $2.14 Typical High $3.63 | Professional | RR · Rental | $0.21 | $2.14 | $3.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.58 Median $1.58 Typical High $2.14 | Professional | UE · Used equipment | $1.58 | $1.58 | $2.14 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii than in California. 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· 50th of 51
$1.86
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.