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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $14.13 | Professional | None | $10.47 | $10.47 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $46.77 | Facility | None | $41.69 | $45.71 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.98 Typical High $18.20 | Professional | None | $16.60 | $16.98 | $18.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.70 Typical High $1.82 | Professional | RR · Rental | $1.66 | $1.70 | $1.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.59 Typical High $13.49 | Professional | UE · Used equipment | $12.59 | $12.59 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $16.22 | Professional | None | $11.75 | $13.80 | $16.22 |
Denver HMP Setting Facility Modifier None Typical Low $7.76 Median $12.59 Typical High $31.62 | Facility | None | $7.76 | $12.59 | $31.62 |
Denver HMP Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $20.42 Typical High $31.62 | Professional | None | $15.14 | $20.42 | $31.62 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.51 Median $2.04 Typical High $3.16 | Professional | RR · Rental | $1.51 | $2.04 | $3.16 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $15.49 Typical High $23.44 | Professional | UE · Used equipment | $11.48 | $15.49 | $23.44 |
Select Health Setting Facility Modifier None Typical Low $2.19 Median $4.57 Typical High $45.71 | Facility | None | $2.19 | $4.57 | $45.71 |
Select Health Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $26.30 | Professional | None | $2.19 | $3.02 | $26.30 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $15.14 | Professional | None | $7.76 | $10.96 | $15.14 |
United Setting Professional Modifier RR · Rental Typical Low $0.95 Median $1.12 Typical High $1.51 | Professional | RR · Rental | $0.95 | $1.12 | $1.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.24 Median $8.51 Typical High $11.48 | Professional | UE · Used equipment | $7.24 | $8.51 | $11.48 |
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 $15.14 Median $18.62 Typical High $28.18 | Professional | KU · Bidding program group 3 | $15.14 | $18.62 | $28.18 |
Where Colorado sits
The same service costs 2.5 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· 25th of 51
$16.60
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.