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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $35.48 | Professional | None | $24.55 | $26.92 | $35.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $26.92 | Professional | UE · Used equipment | $19.95 | $19.95 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $114.82 Typical High $117.49 | Facility | None | $104.71 | $114.82 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | None | $41.69 | $41.69 | $47.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.17 Typical High $4.79 | Professional | RR · Rental | $4.17 | $4.17 | $4.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | UE · Used equipment | $31.62 | $31.62 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $40.74 | Professional | None | $29.51 | $34.67 | $40.74 |
Denver HMP Setting Facility Modifier None Typical Low $20.89 Median $31.62 Typical High $83.18 | Facility | None | $20.89 | $31.62 | $83.18 |
Denver HMP Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $79.43 | Professional | None | $38.02 | $52.48 | $79.43 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.80 Median $5.25 Typical High $7.94 | Professional | RR · Rental | $3.80 | $5.25 | $7.94 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $38.90 Typical High $58.88 | Professional | UE · Used equipment | $28.84 | $38.90 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $5.50 Median $11.48 Typical High $114.82 | Facility | None | $5.50 | $11.48 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $66.07 | Professional | None | $5.62 | $7.59 | $66.07 |
United Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $37.15 | Professional | None | $20.89 | $29.51 | $37.15 |
United Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.95 Typical High $3.72 | Professional | RR · Rental | $2.51 | $2.95 | $3.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $21.88 Typical High $28.18 | Professional | UE · Used equipment | $19.05 | $21.88 | $28.18 |
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 $38.02 Median $46.77 Typical High $70.79 | Professional | KU · Bidding program group 3 | $38.02 | $46.77 | $70.79 |
Where Colorado sits
The same service costs 2.8 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· 26th of 51
$41.69
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.