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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $91.20 | Professional | None | $57.54 | $61.66 | $91.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $45.71 Typical High $53.70 | Professional | UE · Used equipment | $43.65 | $45.71 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $269.15 | Facility | None | $245.47 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | None | $100.00 | $100.00 | $134.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $13.49 | Professional | RR · Rental | $10.00 | $10.00 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | UE · Used equipment | $74.13 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Facility | None | $81.28 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $109.65 | Professional | None | $69.18 | $81.28 | $109.65 |
Denver HMP Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $234.42 | Facility | None | $57.54 | $81.28 | $234.42 |
Denver HMP Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $181.97 | Professional | None | $87.10 | $120.23 | $181.97 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $8.71 Median $12.02 Typical High $18.20 | Professional | RR · Rental | $8.71 | $12.02 | $18.20 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $89.13 Typical High $138.04 | Professional | UE · Used equipment | $66.07 | $89.13 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $12.59 Median $26.30 Typical High $263.03 | Facility | None | $12.59 | $26.30 | $263.03 |
Select Health Setting Professional Modifier None Typical Low $13.18 Median $17.38 Typical High $162.18 | Professional | None | $13.18 | $17.38 | $162.18 |
United Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $104.71 | Professional | None | $57.54 | $74.13 | $104.71 |
United Setting Professional Modifier RR · Rental Typical Low $6.46 Median $7.41 Typical High $10.47 | Professional | RR · Rental | $6.46 | $7.41 | $10.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $56.23 Typical High $77.62 | Professional | UE · Used equipment | $47.86 | $56.23 | $77.62 |
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 $87.10 Median $120.23 Typical High $162.18 | Professional | KU · Bidding program group 3 | $87.10 | $120.23 | $162.18 |
Where Colorado sits
The same service costs 3.0 times more in Kansas 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· 27th of 51
$100
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.