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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $16.98 | Professional | None | $11.22 | $11.22 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $48.98 | Facility | None | $43.65 | $47.86 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $18.62 | Professional | None | $17.38 | $17.78 | $18.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.78 Typical High $1.82 | Professional | RR · Rental | $1.74 | $1.78 | $1.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $13.49 Typical High $13.80 | Professional | UE · Used equipment | $12.88 | $13.49 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $17.38 | Professional | None | $12.30 | $14.45 | $17.38 |
Denver HMP Setting Facility Modifier None Typical Low $7.94 Median $14.13 Typical High $31.62 | Facility | None | $7.94 | $14.13 | $31.62 |
Denver HMP Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $21.88 Typical High $33.11 | Professional | None | $15.85 | $21.88 | $33.11 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.19 Typical High $3.31 | Professional | RR · Rental | $1.58 | $2.19 | $3.31 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $16.22 Typical High $24.55 | Professional | UE · Used equipment | $12.02 | $16.22 | $24.55 |
Select Health Setting Facility Modifier None Typical Low $2.29 Median $4.79 Typical High $47.86 | Facility | None | $2.29 | $4.79 | $47.86 |
Select Health Setting Professional Modifier None Typical Low $2.19 Median $2.82 Typical High $25.12 | Professional | None | $2.19 | $2.82 | $25.12 |
United Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $16.98 | Professional | None | $8.71 | $11.22 | $16.98 |
United Setting Professional Modifier RR · Rental Typical Low $0.98 Median $1.12 Typical High $1.70 | Professional | RR · Rental | $0.98 | $1.12 | $1.70 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.24 Median $8.51 Typical High $12.59 | Professional | UE · Used equipment | $7.24 | $8.51 | $12.59 |
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 $15.85 Median $19.50 Typical High $29.51 | Professional | KU · Bidding program group 3 | $15.85 | $19.50 | $29.51 |
Where Colorado sits
The same service costs 2.2 times more in Hawaii than in Illinois. 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· 25th of 51
$17.38
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.