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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $151.36 | Professional | None | $97.72 | $97.72 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $426.58 Typical High $436.52 | Facility | None | $389.05 | $426.58 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | RR · Rental | $15.85 | $15.85 | $15.85 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | UE · Used equipment | $117.49 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $169.82 | Facility | None | $131.83 | $131.83 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $169.82 | Professional | None | $112.20 | $131.83 | $169.82 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $309.03 | Facility | None | $97.72 | $134.90 | $309.03 |
Denver HMP Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $295.12 | Professional | None | $141.25 | $190.55 | $295.12 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $14.13 Median $19.05 Typical High $29.51 | Professional | RR · Rental | $14.13 | $19.05 | $29.51 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $144.54 Typical High $218.78 | Professional | UE · Used equipment | $104.71 | $144.54 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $19.95 Median $42.66 Typical High $426.58 | Facility | None | $19.95 | $42.66 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $234.42 | Professional | None | $21.38 | $28.18 | $234.42 |
United Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $141.25 | Professional | None | $70.79 | $97.72 | $141.25 |
United Setting Professional Modifier RR · Rental Typical Low $8.71 Median $9.77 Typical High $14.13 | Professional | RR · Rental | $8.71 | $9.77 | $14.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $72.44 Typical High $104.71 | Professional | UE · Used equipment | $66.07 | $72.44 | $104.71 |
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 $141.25 Median $173.78 Typical High $263.03 | Professional | KU · Bidding program group 3 | $141.25 | $173.78 | $263.03 |
Where Colorado sits
The same service costs 2.6 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· 29th of 51
$158
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.