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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | None | $72.44 | $72.44 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $316.23 Typical High $316.23 | Facility | None | $288.40 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | None | $109.65 | $109.65 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.96 Median $10.96 Typical High $11.48 | Professional | RR · Rental | $10.96 | $10.96 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | UE · Used equipment | $83.18 | $83.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | None | $81.28 | $95.50 | $107.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $8.32 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $8.32 | $9.77 | $9.77 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $61.66 | $72.44 | $72.44 |
Denver HMP Setting Facility Modifier None Typical Low $42.66 Median $91.20 Typical High $199.53 | Facility | None | $42.66 | $91.20 | $199.53 |
Denver HMP Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $213.80 | Professional | None | $102.33 | $141.25 | $213.80 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $10.23 Median $14.13 Typical High $21.38 | Professional | RR · Rental | $10.23 | $14.13 | $21.38 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $104.71 Typical High $162.18 | Professional | UE · Used equipment | $77.62 | $104.71 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $14.79 Median $30.90 Typical High $309.03 | Facility | None | $14.79 | $30.90 | $309.03 |
Select Health Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $177.83 | Professional | None | $14.45 | $20.89 | $177.83 |
United Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $100.00 | Professional | None | $52.48 | $66.07 | $100.00 |
United Setting Professional Modifier RR · Rental Typical Low $5.25 Median $6.76 Typical High $10.00 | Professional | RR · Rental | $5.25 | $6.76 | $10.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | UE · Used equipment | $39.81 | $50.12 | $75.86 |
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 $102.33 Median $125.89 Typical High $190.55 | Professional | KU · Bidding program group 3 | $102.33 | $125.89 | $190.55 |
Where Colorado sits
The same service costs 2.3 times more in Hawaii than in Utah. 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· 14th of 51
$110
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.