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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $38.02 | Professional | None | $25.12 | $25.12 | $38.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | UE · Used equipment | $19.05 | $19.05 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $112.20 | Facility | None | $100.00 | $109.65 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $41.69 | Professional | None | $39.81 | $40.74 | $41.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.80 Median $4.07 Typical High $4.17 | Professional | RR · Rental | $3.80 | $4.07 | $4.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $30.90 Typical High $31.62 | Professional | UE · Used equipment | $29.51 | $30.90 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $43.65 | Facility | None | $33.11 | $33.11 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None | $28.18 | $33.11 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $32.36 Typical High $72.44 | Facility | None | $18.20 | $32.36 | $72.44 |
Denver HMP Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $75.86 | Professional | None | $36.31 | $48.98 | $75.86 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.55 Median $4.79 Typical High $7.41 | Professional | RR · Rental | $3.55 | $4.79 | $7.41 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $37.15 Typical High $56.23 | Professional | UE · Used equipment | $27.54 | $37.15 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $5.13 Median $10.72 Typical High $109.65 | Facility | None | $5.13 | $10.72 | $109.65 |
Select Health Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $57.54 | Professional | None | $5.01 | $7.08 | $57.54 |
United Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $38.02 | Professional | None | $19.05 | $24.55 | $38.02 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.51 Typical High $3.89 | Professional | RR · Rental | $2.24 | $2.51 | $3.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $18.62 Typical High $28.84 | Professional | UE · Used equipment | $16.60 | $18.62 | $28.84 |
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 $36.31 Median $44.67 Typical High $67.61 | Professional | KU · Bidding program group 3 | $36.31 | $44.67 | $67.61 |
Where Colorado sits
The same service costs 2.3 times more in Kansas than in New Mexico. 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· 24th of 51
$39.81
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.