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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | None | $28.18 | $28.18 | $42.66 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | UE · Used equipment | $20.89 | $20.89 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $123.03 | Facility | None | $112.20 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $46.77 | Professional | None | $42.66 | $44.67 | $46.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.47 Typical High $4.68 | Professional | RR · Rental | $4.27 | $4.47 | $4.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $33.88 Typical High $35.48 | Professional | UE · Used equipment | $32.36 | $33.88 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $43.65 | Professional | None | $30.90 | $36.31 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $19.50 Median $38.02 Typical High $75.86 | Facility | None | $19.50 | $38.02 | $75.86 |
Denver HMP Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $83.18 | Professional | None | $40.74 | $54.95 | $83.18 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.07 Median $5.50 Typical High $8.32 | Professional | RR · Rental | $4.07 | $5.50 | $8.32 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $40.74 Typical High $63.10 | Professional | UE · Used equipment | $30.20 | $40.74 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $5.75 Median $12.02 Typical High $120.23 | Facility | None | $5.75 | $12.02 | $120.23 |
Select Health Setting Professional Modifier None Typical Low $5.50 Median $40.74 Typical High $63.10 | Professional | None | $5.50 | $40.74 | $63.10 |
United Setting Professional Modifier None Typical Low $20.42 Median $27.54 Typical High $41.69 | Professional | None | $20.42 | $27.54 | $41.69 |
United Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.69 Typical High $4.17 | Professional | RR · Rental | $2.40 | $2.69 | $4.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $20.42 Typical High $30.90 | Professional | UE · Used equipment | $18.20 | $20.42 | $30.90 |
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 $40.74 Median $48.98 Typical High $74.13 | Professional | KU · Bidding program group 3 | $40.74 | $48.98 | $74.13 |
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· 25th of 51
$42.66
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.