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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Professional | None | $22.91 | $22.91 | $30.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $17.38 Typical High $22.91 | Professional | UE · Used equipment | $17.38 | $17.38 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $102.33 | Facility | None | $91.20 | $100.00 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | None | $36.31 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.72 Typical High $3.72 | Professional | RR · Rental | $3.63 | $3.72 | $3.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | UE · Used equipment | $26.92 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $39.81 | Facility | None | $30.90 | $30.90 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $39.81 | Professional | None | $26.30 | $30.90 | $39.81 |
Denver HMP Setting Facility Modifier None Typical Low $14.45 Median $29.51 Typical High $64.57 | Facility | None | $14.45 | $29.51 | $64.57 |
Denver HMP Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $69.18 | Professional | None | $33.11 | $44.67 | $69.18 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.31 Median $4.47 Typical High $6.92 | Professional | RR · Rental | $3.31 | $4.47 | $6.92 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $33.88 Typical High $51.29 | Professional | UE · Used equipment | $24.55 | $33.88 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $4.68 Median $10.00 Typical High $100.00 | Facility | None | $4.68 | $10.00 | $100.00 |
Select Health Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $56.23 | Professional | None | $4.79 | $6.61 | $56.23 |
United Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $33.88 | Professional | None | $16.98 | $22.91 | $33.88 |
United Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.29 Typical High $3.39 | Professional | RR · Rental | $1.78 | $2.29 | $3.39 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.18 Median $16.98 Typical High $25.12 | Professional | UE · Used equipment | $13.18 | $16.98 | $25.12 |
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 $33.11 Median $39.81 Typical High $61.66 | Professional | KU · Bidding program group 3 | $33.11 | $39.81 | $61.66 |
Where Colorado sits
The same service costs 2.7 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· 21st 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.