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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $23.99 | Professional | None | $16.22 | $16.22 | $23.99 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | UE · Used equipment | $12.30 | $12.30 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | None | $25.12 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $2.51 | $2.69 | $2.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.05 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Facility | None | $21.88 | $21.88 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $28.84 | Professional | None | $18.62 | $21.88 | $28.84 |
Denver HMP Setting Facility Modifier None Typical Low $11.75 Median $20.89 Typical High $46.77 | Facility | None | $11.75 | $20.89 | $46.77 |
Denver HMP Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $48.98 | Professional | None | $23.44 | $31.62 | $48.98 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.16 Typical High $4.79 | Professional | RR · Rental | $2.34 | $3.16 | $4.79 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $23.99 Typical High $36.31 | Professional | UE · Used equipment | $17.38 | $23.99 | $36.31 |
Select Health Setting Facility Modifier None Typical Low $3.31 Median $7.08 Typical High $70.79 | Facility | None | $3.31 | $7.08 | $70.79 |
Select Health Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $37.15 | Professional | None | $3.31 | $4.68 | $37.15 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $24.55 | Professional | None | $12.02 | $15.85 | $24.55 |
United Setting Professional Modifier RR · Rental Typical Low $1.41 Median $1.58 Typical High $2.45 | Professional | RR · Rental | $1.41 | $1.58 | $2.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $12.02 Typical High $18.20 | Professional | UE · Used equipment | $10.72 | $12.02 | $18.20 |
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 $23.44 Median $28.18 Typical High $43.65 | Professional | KU · Bidding program group 3 | $23.44 | $28.18 | $43.65 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii 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· 22nd of 51
$25.12
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.