How much rates vary
Facilitymedian $66 · 10th to 90th $41 to $186Professionalmedian $79 · 10th to 90th $49 to $110
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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $81.28 | Professional | None | $40.74 | $48.98 | $81.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $36.31 Typical High $50.12 | Professional | UE · Used equipment | $30.90 | $36.31 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $213.80 Typical High $213.80 | Facility | None | $194.98 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | None | $79.43 | $79.43 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $7.94 Typical High $9.55 | Professional | RR · Rental | $7.94 | $7.94 | $9.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | UE · Used equipment | $60.26 | $60.26 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $87.10 | Professional | None | $56.23 | $66.07 | $87.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.62 Median $6.61 Typical High $8.71 | Professional | RR · Rental | $5.62 | $6.61 | $8.71 |
Denver HMP Setting Facility Modifier None Typical Low $40.74 Median $69.18 Typical High $165.96 | Facility | None | $40.74 | $69.18 | $165.96 |
Denver HMP Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $144.54 | Professional | None | $66.07 | $93.33 | $144.54 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $7.08 Median $9.55 Typical High $14.45 | Professional | RR · Rental | $7.08 | $9.55 | $14.45 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $70.79 Typical High $109.65 | Professional | UE · Used equipment | $52.48 | $70.79 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $10.00 Median $20.89 Typical High $208.93 | Facility | None | $10.00 | $20.89 | $208.93 |
Select Health Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $123.03 | Professional | None | $10.47 | $14.13 | $123.03 |
United Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $74.13 | Professional | None | $40.74 | $57.54 | $74.13 |
United Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.75 Typical High $7.41 | Professional | RR · Rental | $5.01 | $5.75 | $7.41 |
United Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $42.66 Typical High $54.95 | Professional | UE · Used equipment | $37.15 | $42.66 | $54.95 |
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 $93.33 Typical High $128.82 | Professional | KU · Bidding program group 3 | $66.07 | $93.33 | $128.82 |
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· 20th of 51
$79.43
HI $135NM $52.48
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.