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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,238.72 | $3,090.30 |
Aetna Setting Professional Modifier RR · Rental Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | RR · Rental | $354.81 | $354.81 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | UE · Used equipment | $1,659.59 | $1,659.59 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $7,762.47 Typical High $7,943.28 | Facility | None | $7,079.46 | $7,762.47 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $7,244.36 | Professional | None | $2,818.38 | $2,818.38 | $7,244.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $1,148.15 | Professional | RR · Rental | $436.52 | $436.52 | $1,148.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $5,370.32 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Denver HMP Setting Facility Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $3,981.07 | Facility | None | $1,995.26 | $2,454.71 | $3,981.07 |
Denver HMP Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $7,585.78 | Professional | None | $3,162.28 | $4,786.30 | $7,585.78 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $501.19 Median $758.58 Typical High $1,230.27 | Professional | RR · Rental | $501.19 | $758.58 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $2,398.83 Median $3,548.13 Typical High $5,888.44 | Professional | UE · Used equipment | $2,398.83 | $3,548.13 | $5,888.44 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,230.27 Typical High $7,413.10 | Facility | None | $588.84 | $1,230.27 | $7,413.10 |
Select Health Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $3,467.37 | Professional | None | $416.87 | $549.54 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $5,248.07 | Professional | None | $1,819.70 | $3,548.13 | $5,248.07 |
United Setting Professional Modifier RR · Rental Typical Low $288.40 Median $562.34 Typical High $831.76 | Professional | RR · Rental | $288.40 | $562.34 | $831.76 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,380.38 Median $2,630.27 Typical High $3,981.07 | Professional | UE · Used equipment | $1,380.38 | $2,630.27 | $3,981.07 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | MS · Maintenance fee | $177.83 | $177.83 | $208.93 |
Kaiser Permanente Setting Professional Modifier MS · Maintenance fee Typical Low $234.42 Median $354.81 Typical High $588.84 | Professional | MS · Maintenance fee | $234.42 | $354.81 | $588.84 |
Where Colorado sits
The same service costs 3.6 times more in Wisconsin than in Illinois. 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· 23rd of 51
$2,818
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.