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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $107.15 | Professional | None | $67.61 | $67.61 | $107.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | UE · Used equipment | $50.12 | $50.12 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $295.12 | Facility | None | $269.15 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | None | $107.15 | $107.15 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $11.75 | Professional | RR · Rental | $10.72 | $10.72 | $11.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $81.28 Typical High $87.10 | Professional | UE · Used equipment | $79.43 | $81.28 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $102.33 | Professional | None | $74.13 | $89.13 | $102.33 |
Denver HMP Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $199.53 | Facility | None | $50.12 | $83.18 | $199.53 |
Denver HMP Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $199.53 | Professional | None | $97.72 | $131.83 | $199.53 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $9.55 Median $13.18 Typical High $19.95 | Professional | RR · Rental | $9.55 | $13.18 | $19.95 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $97.72 Typical High $151.36 | Professional | UE · Used equipment | $72.44 | $97.72 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $13.80 Median $28.84 Typical High $288.40 | Facility | None | $13.80 | $28.84 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $165.96 | Professional | None | $14.13 | $19.50 | $165.96 |
United Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $95.50 | Professional | None | $50.12 | $70.79 | $95.50 |
United Setting Professional Modifier RR · Rental Typical Low $6.17 Median $7.24 Typical High $9.55 | Professional | RR · Rental | $6.17 | $7.24 | $9.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $53.70 Typical High $72.44 | Professional | UE · Used equipment | $45.71 | $53.70 | $72.44 |
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 $97.72 Median $117.49 Typical High $177.83 | Professional | KU · Bidding program group 3 | $97.72 | $117.49 | $177.83 |
Where Colorado sits
The same service costs 3.4 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· 17th of 51
$107
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.