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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $19.95 | Professional | None | $12.30 | $16.22 | $19.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | UE · Used equipment | $12.02 | $12.02 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $70.79 Typical High $70.79 | Facility | None | $64.57 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $24.55 | Professional | None | $23.99 | $23.99 | $24.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | RR · Rental | $2.45 | $2.45 | $2.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | UE · Used equipment | $18.20 | $18.20 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $25.70 | Professional | None | $17.78 | $21.38 | $25.70 |
Denver HMP Setting Facility Modifier None Typical Low $10.47 Median $19.50 Typical High $41.69 | Facility | None | $10.47 | $19.50 | $41.69 |
Denver HMP Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $47.86 | Professional | None | $23.44 | $31.62 | $47.86 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.16 Typical High $4.79 | Professional | RR · Rental | $2.34 | $3.16 | $4.79 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $23.44 Typical High $36.31 | Professional | UE · Used equipment | $17.38 | $23.44 | $36.31 |
Select Health Setting Facility Modifier None Typical Low $3.31 Median $6.92 Typical High $69.18 | Facility | None | $3.31 | $6.92 | $69.18 |
Select Health Setting Professional Modifier None Typical Low $3.02 Median $4.68 Typical High $39.81 | Professional | None | $3.02 | $4.68 | $39.81 |
United Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $24.55 | Professional | None | $12.59 | $15.85 | $24.55 |
United Setting Professional Modifier RR · Rental Typical Low $1.29 Median $1.58 Typical High $2.45 | Professional | RR · Rental | $1.29 | $1.58 | $2.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.55 Median $12.02 Typical High $18.20 | Professional | UE · Used equipment | $9.55 | $12.02 | $18.20 |
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 $23.44 Median $28.18 Typical High $43.65 | Professional | KU · Bidding program group 3 | $23.44 | $28.18 | $43.65 |
Where Colorado sits
The same service costs 2.3 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· 23rd of 51
$23.99
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.