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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | None | $28.84 | $28.84 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $125.89 Typical High $128.82 | Facility | None | $114.82 | $125.89 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $4.47 | $4.47 | $4.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $33.11 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $45.71 | Professional | None | $32.36 | $38.02 | $45.71 |
Denver HMP Setting Facility Modifier None Typical Low $19.05 Median $34.67 Typical High $77.62 | Facility | None | $19.05 | $34.67 | $77.62 |
Denver HMP Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $87.10 | Professional | None | $41.69 | $56.23 | $87.10 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.17 Median $5.62 Typical High $8.71 | Professional | RR · Rental | $4.17 | $5.62 | $8.71 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $42.66 Typical High $64.57 | Professional | UE · Used equipment | $30.90 | $42.66 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $5.89 Median $12.59 Typical High $125.89 | Facility | None | $5.89 | $12.59 | $125.89 |
Select Health Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $70.79 | Professional | None | $5.50 | $8.32 | $70.79 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $44.67 | Professional | None | $22.39 | $28.84 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.88 Typical High $4.47 | Professional | RR · Rental | $2.34 | $2.88 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $21.38 Typical High $33.11 | Professional | UE · Used equipment | $17.78 | $21.38 | $33.11 |
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 $41.69 Median $50.12 Typical High $77.62 | Professional | KU · Bidding program group 3 | $41.69 | $50.12 | $77.62 |
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· 17th of 51
$44.67
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.