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 $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $41.69 | Professional | None | $23.99 | $23.99 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $104.71 Typical High $104.71 | Facility | None | $95.50 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $44.67 | Professional | None | $36.31 | $38.90 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.89 Typical High $7.41 | Professional | RR · Rental | $3.80 | $3.89 | $7.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $29.51 Typical High $37.15 | Professional | UE · Used equipment | $27.54 | $29.51 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $39.81 | Professional | None | $26.92 | $31.62 | $39.81 |
Denver HMP Setting Facility Modifier None Typical Low $23.99 Median $33.11 Typical High $64.57 | Facility | None | $23.99 | $33.11 | $64.57 |
Denver HMP Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $70.79 | Professional | None | $34.67 | $46.77 | $70.79 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.47 Median $4.68 Typical High $7.08 | Professional | RR · Rental | $3.47 | $4.68 | $7.08 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $34.67 Typical High $53.70 | Professional | UE · Used equipment | $25.70 | $34.67 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $4.90 Median $10.23 Typical High $102.33 | Facility | None | $4.90 | $10.23 | $102.33 |
Select Health Setting Professional Modifier None Typical Low $5.13 Median $31.62 Typical High $56.23 | Professional | None | $5.13 | $31.62 | $56.23 |
United Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $36.31 | Professional | None | $18.62 | $24.55 | $36.31 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.63 Typical High $3.72 | Professional | RR · Rental | $2.34 | $2.63 | $3.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $18.62 Typical High $26.92 | Professional | UE · Used equipment | $16.98 | $18.62 | $26.92 |
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 $34.67 Median $43.65 Typical High $63.10 | Professional | KU · Bidding program group 3 | $34.67 | $43.65 | $63.10 |
Where Colorado sits
The same service costs 2.9 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· 29th of 51
$36.31
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.