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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $77.62 | Professional | None | $45.71 | $45.71 | $77.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $34.67 Typical High $48.98 | Professional | UE · Used equipment | $33.88 | $34.67 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $204.17 | Facility | None | $181.97 | $199.53 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | None | $74.13 | $74.13 | $104.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.41 Median $7.41 Typical High $10.47 | Professional | RR · Rental | $7.41 | $7.41 | $10.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $79.43 | Professional | UE · Used equipment | $54.95 | $54.95 | $79.43 |
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 $45.71 Median $66.07 Typical High $181.97 | Facility | None | $45.71 | $66.07 | $181.97 |
Denver HMP Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $138.04 | Professional | None | $66.07 | $89.13 | $138.04 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $6.61 Median $8.51 Typical High $13.80 | Professional | RR · Rental | $6.61 | $8.51 | $13.80 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $67.61 Typical High $102.33 | Professional | UE · Used equipment | $50.12 | $67.61 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $9.33 Median $19.95 Typical High $199.53 | Facility | None | $9.33 | $19.95 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $10.00 Median $61.66 Typical High $123.03 | Professional | None | $10.00 | $61.66 | $123.03 |
United Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $79.43 | Professional | None | $45.71 | $54.95 | $79.43 |
United Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.75 Typical High $7.94 | Professional | RR · Rental | $4.79 | $5.75 | $7.94 |
United Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $43.65 Typical High $58.88 | Professional | UE · Used equipment | $35.48 | $43.65 | $58.88 |
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 $66.07 Median $89.13 Typical High $123.03 | Professional | KU · Bidding program group 3 | $66.07 | $89.13 | $123.03 |
Where Colorado sits
The same service costs 2.9 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· 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.