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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $33.11 | Professional | None | $21.88 | $23.44 | $33.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $17.38 Typical High $20.89 | Professional | UE · Used equipment | $16.60 | $17.38 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $95.50 Typical High $97.72 | Facility | None | $87.10 | $95.50 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $53.70 | Professional | None | $37.15 | $37.15 | $53.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $5.37 | Professional | RR · Rental | $3.80 | $3.80 | $5.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | UE · Used equipment | $28.18 | $28.18 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $41.69 | Facility | None | $30.90 | $30.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $41.69 | Professional | None | $26.30 | $30.90 | $41.69 |
Denver HMP Setting Facility Modifier None Typical Low $21.88 Median $30.90 Typical High $93.33 | Facility | None | $21.88 | $30.90 | $93.33 |
Denver HMP Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $43.65 Typical High $66.07 | Professional | None | $31.62 | $43.65 | $66.07 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.16 Median $4.37 Typical High $6.61 | Professional | RR · Rental | $3.16 | $4.37 | $6.61 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $32.36 Typical High $48.98 | Professional | UE · Used equipment | $23.99 | $32.36 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $4.57 Median $9.55 Typical High $95.50 | Facility | None | $4.57 | $9.55 | $95.50 |
Select Health Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $63.10 | Professional | None | $4.79 | $6.31 | $63.10 |
United Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $41.69 | Professional | None | $23.44 | $29.51 | $41.69 |
United Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.02 Typical High $4.17 | Professional | RR · Rental | $2.51 | $3.02 | $4.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $22.39 Typical High $31.62 | Professional | UE · Used equipment | $18.62 | $22.39 | $31.62 |
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 $31.62 Median $43.65 Typical High $58.88 | Professional | KU · Bidding program group 3 | $31.62 | $43.65 | $58.88 |
Where Colorado sits
The same service costs 2.8 times more in Kansas 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· 35th of 51
$37.15
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.