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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | None | $41.69 | $41.69 | $63.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | UE · Used equipment | $30.90 | $30.90 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $181.97 | Facility | None | $165.96 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | None | $61.66 | $61.66 | $63.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.17 Typical High $6.31 | Professional | RR · Rental | $6.17 | $6.17 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | UE · Used equipment | $45.71 | $45.71 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $70.79 | Facility | None | $53.70 | $53.70 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $70.79 | Professional | None | $45.71 | $53.70 | $70.79 |
Denver HMP Setting Facility Modifier None Typical Low $26.30 Median $52.48 Typical High $107.15 | Facility | None | $26.30 | $52.48 | $107.15 |
Denver HMP Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $123.03 | Professional | None | $58.88 | $81.28 | $123.03 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $5.89 Median $8.13 Typical High $12.30 | Professional | RR · Rental | $5.89 | $8.13 | $12.30 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $60.26 Typical High $93.33 | Professional | UE · Used equipment | $44.67 | $60.26 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $8.51 Median $17.78 Typical High $177.83 | Facility | None | $8.51 | $17.78 | $177.83 |
Select Health Setting Professional Modifier None Typical Low $7.59 Median $11.75 Typical High $102.33 | Professional | None | $7.59 | $11.75 | $102.33 |
United Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $61.66 | Professional | None | $32.36 | $40.74 | $61.66 |
United Setting Professional Modifier RR · Rental Typical Low $3.24 Median $4.07 Typical High $6.17 | Professional | RR · Rental | $3.24 | $4.07 | $6.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $30.20 Typical High $46.77 | Professional | UE · Used equipment | $23.99 | $30.20 | $46.77 |
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 $58.88 Median $72.44 Typical High $109.65 | Professional | KU · Bidding program group 3 | $58.88 | $72.44 | $109.65 |
Where Colorado sits
The same service costs 2.3 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· 19th of 51
$61.66
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.