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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $26.30 | Professional | None | $17.38 | $17.38 | $26.30 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $13.18 Median $13.18 Typical High $17.38 | Professional | UE · Used equipment | $13.18 | $13.18 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $77.62 | Facility | None | $69.18 | $75.86 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | None | $27.54 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.82 Typical High $2.82 | Professional | RR · Rental | $2.75 | $2.82 | $2.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $20.89 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $30.90 | Facility | None | $23.44 | $23.44 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $30.90 | Professional | None | $19.95 | $23.44 | $30.90 |
Denver HMP Setting Facility Modifier None Typical Low $11.75 Median $22.91 Typical High $53.70 | Facility | None | $11.75 | $22.91 | $53.70 |
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 $25.12 Median $33.88 Typical High $52.48 | Professional | None | $25.12 | $33.88 | $52.48 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.39 Typical High $5.25 | Professional | RR · Rental | $2.51 | $3.39 | $5.25 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $25.70 Typical High $38.90 | Professional | UE · Used equipment | $18.62 | $25.70 | $38.90 |
Select Health Setting Facility Modifier None Typical Low $3.63 Median $7.59 Typical High $75.86 | Facility | None | $3.63 | $7.59 | $75.86 |
Select Health Setting Professional Modifier None Typical Low $3.80 Median $5.01 Typical High $41.69 | Professional | None | $3.80 | $5.01 | $41.69 |
United Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $25.12 | Professional | None | $12.88 | $17.38 | $25.12 |
United Setting Professional Modifier RR · Rental Typical Low $1.41 Median $1.74 Typical High $2.51 | Professional | RR · Rental | $1.41 | $1.74 | $2.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $12.88 Typical High $18.62 | Professional | UE · Used equipment | $10.72 | $12.88 | $18.62 |
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 $25.12 Median $30.20 Typical High $46.77 | Professional | KU · Bidding program group 3 | $25.12 | $30.20 | $46.77 |
Where Colorado sits
The same service costs 2.5 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
$27.54
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.