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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $416.87 | Professional | None | $239.88 | $263.03 | $416.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | UE · Used equipment | $194.98 | $194.98 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,047.13 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None | $426.58 | $426.58 | $512.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | RR · Rental | $42.66 | $42.66 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | UE · Used equipment | $323.59 | $323.59 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $467.74 | Facility | None | $354.81 | $354.81 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $467.74 | Professional | None | $302.00 | $354.81 | $467.74 |
Denver HMP Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $891.25 | Facility | None | $218.78 | $346.74 | $891.25 |
Denver HMP Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $776.25 | Professional | None | $380.19 | $512.86 | $776.25 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $38.02 Median $51.29 Typical High $77.62 | Professional | RR · Rental | $38.02 | $51.29 | $77.62 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $389.05 Typical High $588.84 | Professional | UE · Used equipment | $281.84 | $389.05 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $53.70 Median $112.20 Typical High $1,122.02 | Facility | None | $53.70 | $112.20 | $1,122.02 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $645.65 | Professional | None | $56.23 | $75.86 | $645.65 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $398.11 | Professional | None | $218.78 | $309.03 | $398.11 |
United Setting Professional Modifier RR · Rental Typical Low $26.92 Median $30.90 Typical High $38.90 | Professional | RR · Rental | $26.92 | $30.90 | $38.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $229.09 Typical High $295.12 | Professional | UE · Used equipment | $199.53 | $229.09 | $295.12 |
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 $380.19 Median $489.78 Typical High $707.95 | Professional | KU · Bidding program group 3 | $380.19 | $489.78 | $707.95 |
Where Colorado sits
The same service costs 2.7 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· 26th of 51
$427
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.