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 $0.68 Median $0.68 Typical High $1.51 | Facility | None | $0.68 | $0.68 | $1.51 |
Aetna Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $1.12 | Professional | None | $0.68 | $0.68 | $1.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $2.75 | Professional | None | $0.71 | $0.71 | $2.75 |
Cigna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
Denver HMP Setting Facility Modifier None Typical Low $0.68 Median $1.05 Typical High $1.82 | Facility | None | $0.68 | $1.05 | $1.82 |
Denver HMP Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.62 Median $2.14 Typical High $3.24 | Professional | None | $1.62 | $2.14 | $3.24 |
Select Health Setting Facility Modifier None Typical Low $1.62 Median $3.02 Typical High $3.39 | Facility | None | $1.62 | $3.02 | $3.39 |
Select Health Setting Professional Modifier None Typical Low $1.45 Median $1.58 Typical High $2.82 | Professional | None | $1.45 | $1.58 | $2.82 |
United Setting Professional Modifier None Typical Low $0.62 Median $0.68 Typical High $0.98 | Professional | None | $0.62 | $0.68 | $0.98 |
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 $1.02 Median $1.02 Typical High $1.02 | Professional | RR · Rental | $1.02 | $1.02 | $1.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.52 Median $0.65 Typical High $1.00 | Professional | UE · Used equipment | $0.52 | $0.65 | $1.00 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii than in Utah. 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
$0.68
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.