How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3.80 Median $3.80 Typical High $8.32 | Facility | None | $3.80 | $3.80 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $6.31 | Professional | None | $3.80 | $3.80 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.89 Typical High $9.12 | Professional | None | $3.31 | $3.89 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Denver HMP Setting Facility Modifier None Typical Low $3.80 Median $5.75 Typical High $10.00 | Facility | None | $3.80 | $5.75 | $10.00 |
Denver HMP Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $17.38 | Professional | None | $9.12 | $12.02 | $17.38 |
Select Health Setting Facility Modifier None Typical Low $9.12 Median $16.60 Typical High $19.05 | Facility | None | $9.12 | $16.60 | $19.05 |
Select Health Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $15.85 | Professional | None | $7.94 | $8.91 | $15.85 |
United Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $5.37 | Professional | None | $3.39 | $3.80 | $5.37 |
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 RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
Where Colorado sits
The same service costs 3.2 times more in Hawaii than in Colorado. 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· 51st of 51
$3.80
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.