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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | None | $83.18 | $83.18 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $363.08 | Facility | None | $331.13 | $363.08 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $134.90 | Professional | None | $128.82 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.88 Median $13.49 Typical High $13.49 | Professional | RR · Rental | $12.88 | $13.49 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $95.50 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $128.82 | Professional | None | $95.50 | $112.20 | $128.82 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $9.55 | $11.22 | $11.22 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $70.79 | $83.18 | $83.18 |
Denver HMP Setting Facility Modifier None Typical Low $57.54 Median $104.71 Typical High $229.09 | Facility | None | $57.54 | $104.71 | $229.09 |
Denver HMP Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $245.47 | Professional | None | $120.23 | $162.18 | $245.47 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $12.02 Median $16.22 Typical High $24.55 | Professional | RR · Rental | $12.02 | $16.22 | $24.55 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $120.23 Typical High $186.21 | Professional | UE · Used equipment | $89.13 | $120.23 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $16.98 Median $35.48 Typical High $354.81 | Facility | None | $16.98 | $35.48 | $354.81 |
Select Health Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $204.17 | Professional | None | $16.60 | $23.99 | $204.17 |
United Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $120.23 | Professional | None | $61.66 | $81.28 | $120.23 |
United Setting Professional Modifier RR · Rental Typical Low $7.08 Median $8.32 Typical High $12.02 | Professional | RR · Rental | $7.08 | $8.32 | $12.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $61.66 Typical High $89.13 | Professional | UE · Used equipment | $52.48 | $61.66 | $89.13 |
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 $120.23 Median $144.54 Typical High $218.78 | Professional | KU · Bidding program group 3 | $120.23 | $144.54 | $218.78 |
Where Colorado sits
The same service costs 1.9 times more in Wisconsin 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· 23rd of 51
$129
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.