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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $75.86 | Professional | None | $38.90 | $44.67 | $75.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $33.88 Typical High $46.77 | Professional | UE · Used equipment | $28.84 | $33.88 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $199.53 | Facility | None | $177.83 | $194.98 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | None | $74.13 | $74.13 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.41 Median $7.41 Typical High $9.55 | Professional | RR · Rental | $7.41 | $7.41 | $9.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | UE · Used equipment | $54.95 | $54.95 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | None | $51.29 | $60.26 | $81.28 |
Denver HMP Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $151.36 | Facility | None | $38.02 | $57.54 | $151.36 |
Denver HMP Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $134.90 | Professional | None | $64.57 | $87.10 | $134.90 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $6.46 Median $8.71 Typical High $13.49 | Professional | RR · Rental | $6.46 | $8.71 | $13.49 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $66.07 Typical High $100.00 | Professional | UE · Used equipment | $48.98 | $66.07 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $9.33 Median $19.50 Typical High $194.98 | Facility | None | $9.33 | $19.50 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $112.20 | Professional | None | $9.77 | $12.88 | $112.20 |
United Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $67.61 | Professional | None | $38.02 | $52.48 | $67.61 |
United Setting Professional Modifier RR · Rental Typical Low $4.57 Median $5.25 Typical High $6.76 | Professional | RR · Rental | $4.57 | $5.25 | $6.76 |
United Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | UE · Used equipment | $34.67 | $39.81 | $50.12 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $64.57 Median $85.11 Typical High $120.23 | Professional | KU · Bidding program group 3 | $64.57 | $85.11 | $120.23 |
Where Colorado sits
The same service costs 2.7 times more in Kansas 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· 25th of 51
$74.13
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.