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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $46.77 | Professional | None | $29.51 | $29.51 | $46.77 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $22.39 Typical High $27.54 | Professional | UE · Used equipment | $22.39 | $22.39 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $131.83 | Facility | None | $117.49 | $128.82 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | RR · Rental | $4.57 | $4.57 | $4.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Facility | None | $38.90 | $38.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Professional | None | $33.11 | $38.90 | $51.29 |
Denver HMP Setting Facility Modifier None Typical Low $19.50 Median $38.02 Typical High $79.43 | Facility | None | $19.50 | $38.02 | $79.43 |
Denver HMP Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $89.13 | Professional | None | $42.66 | $58.88 | $89.13 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.27 Median $5.75 Typical High $8.91 | Professional | RR · Rental | $4.27 | $5.75 | $8.91 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $43.65 Typical High $66.07 | Professional | UE · Used equipment | $32.36 | $43.65 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $6.17 Median $12.88 Typical High $128.82 | Facility | None | $6.17 | $12.88 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $74.13 | Professional | None | $5.62 | $8.51 | $74.13 |
United Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $45.71 | Professional | None | $22.91 | $29.51 | $45.71 |
United Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.95 Typical High $4.57 | Professional | RR · Rental | $2.40 | $2.95 | $4.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $22.39 Typical High $33.88 | Professional | UE · Used equipment | $18.20 | $22.39 | $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 $42.66 Median $52.48 Typical High $79.43 | Professional | KU · Bidding program group 3 | $42.66 | $52.48 | $79.43 |
Where Colorado sits
The same service costs 2.3 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· 21st of 51
$45.71
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.