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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $151.36 | Professional | None | $91.20 | $120.23 | $151.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $67.61 Typical High $104.71 | Professional | UE · Used equipment | $67.61 | $67.61 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $398.11 Typical High $398.11 | Facility | None | $363.08 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $275.42 | Professional | None | $151.36 | $151.36 | $275.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $27.54 | Professional | RR · Rental | $15.14 | $15.14 | $27.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $208.93 | Professional | UE · Used equipment | $114.82 | $114.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Facility | None | $125.89 | $125.89 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $169.82 | Professional | None | $107.15 | $125.89 | $169.82 |
Denver HMP Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $478.63 | Facility | None | $91.20 | $138.04 | $478.63 |
Denver HMP Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $269.15 | Professional | None | $128.82 | $177.83 | $269.15 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $12.88 Median $17.78 Typical High $26.92 | Professional | RR · Rental | $12.88 | $17.78 | $26.92 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $131.83 Typical High $204.17 | Professional | UE · Used equipment | $97.72 | $131.83 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $38.90 Typical High $389.05 | Facility | None | $18.62 | $38.90 | $389.05 |
Select Health Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $295.12 | Professional | None | $19.50 | $29.51 | $295.12 |
United Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $199.53 | Professional | None | $112.20 | $134.90 | $199.53 |
United Setting Professional Modifier RR · Rental Typical Low $11.22 Median $14.45 Typical High $19.95 | Professional | RR · Rental | $11.22 | $14.45 | $19.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $109.65 Typical High $151.36 | Professional | UE · Used equipment | $83.18 | $109.65 | $151.36 |
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 $128.82 Median $177.83 Typical High $269.15 | Professional | KU · Bidding program group 3 | $128.82 | $177.83 | $269.15 |
Where Colorado sits
The same service costs 3.0 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· 38th of 51
$151
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.