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 $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.76 | Professional | None | $6.03 | $6.03 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $26.30 Typical High $26.92 | Facility | None | $23.99 | $26.30 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | None | $9.33 | $9.77 | $9.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.93 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.93 | $0.98 | $0.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $7.41 Typical High $7.41 | Professional | UE · Used equipment | $7.08 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $9.33 | Professional | None | $6.76 | $7.94 | $9.33 |
Denver HMP Setting Facility Modifier None Typical Low $3.63 Median $7.76 Typical High $16.98 | Facility | None | $3.63 | $7.76 | $16.98 |
Denver HMP Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $18.20 | Professional | None | $8.71 | $11.75 | $18.20 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $0.87 Median $1.20 Typical High $1.82 | Professional | RR · Rental | $0.87 | $1.20 | $1.82 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $8.91 Typical High $13.49 | Professional | UE · Used equipment | $6.61 | $8.91 | $13.49 |
Select Health Setting Facility Modifier None Typical Low $1.26 Median $2.63 Typical High $26.30 | Facility | None | $1.26 | $2.63 | $26.30 |
Select Health Setting Professional Modifier None Typical Low $1.26 Median $1.74 Typical High $13.80 | Professional | None | $1.26 | $1.74 | $13.80 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.89 Typical High $8.51 | Professional | None | $4.47 | $5.89 | $8.51 |
United Setting Professional Modifier RR · Rental Typical Low $0.45 Median $0.59 Typical High $0.85 | Professional | RR · Rental | $0.45 | $0.59 | $0.85 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.39 Median $4.37 Typical High $6.46 | Professional | UE · Used equipment | $3.39 | $4.37 | $6.46 |
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 $8.71 Median $10.72 Typical High $16.22 | Professional | KU · Bidding program group 3 | $8.71 | $10.72 | $16.22 |
Where Colorado sits
The same service costs 2.3 times more in Kansas than in Illinois. 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· 24th of 51
$9.33
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.