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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $47.86 | Professional | None | $31.62 | $31.62 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $138.04 Typical High $138.04 | Facility | None | $125.89 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | None | $48.98 | $52.48 | $58.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $5.25 Typical High $5.89 | Professional | RR · Rental | $4.90 | $5.25 | $5.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $38.90 Typical High $44.67 | Professional | UE · Used equipment | $36.31 | $38.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $48.98 | Professional | None | $36.31 | $42.66 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $89.13 | Facility | None | $25.70 | $40.74 | $89.13 |
Denver HMP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $93.33 | Professional | None | $45.71 | $61.66 | $93.33 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.47 Median $6.17 Typical High $9.33 | Professional | RR · Rental | $4.47 | $6.17 | $9.33 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $45.71 Typical High $70.79 | Professional | UE · Used equipment | $33.88 | $45.71 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $6.46 Median $13.49 Typical High $134.90 | Facility | None | $6.46 | $13.49 | $134.90 |
Select Health Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $75.86 | Professional | None | $6.76 | $9.12 | $75.86 |
United Setting Professional Modifier None Typical Low $25.70 Median $35.48 Typical High $45.71 | Professional | None | $25.70 | $35.48 | $45.71 |
United Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.63 Typical High $4.90 | Professional | RR · Rental | $3.09 | $3.63 | $4.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $26.30 Typical High $33.88 | Professional | UE · Used equipment | $22.91 | $26.30 | $33.88 |
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 $45.71 Median $57.54 Typical High $83.18 | Professional | KU · Bidding program group 3 | $45.71 | $57.54 | $83.18 |
Where Colorado sits
The same service costs 5.0 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· 27th of 51
$48.98
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.