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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | None | $190.55 | $190.55 | $234.42 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | UE · Used equipment | $141.25 | $141.25 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $831.76 | Facility | None | $758.58 | $831.76 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | None | $288.40 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $28.84 | $29.51 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $323.59 | Facility | None | $263.03 | $263.03 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $323.59 | Professional | None | $223.87 | $263.03 | $323.59 |
Denver HMP Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $512.86 | Facility | None | $190.55 | $229.09 | $512.86 |
Denver HMP Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $562.34 | Professional | None | $269.15 | $371.54 | $562.34 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $26.92 Median $37.15 Typical High $56.23 | Professional | RR · Rental | $26.92 | $37.15 | $56.23 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $204.17 Median $275.42 Typical High $426.58 | Professional | UE · Used equipment | $204.17 | $275.42 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $81.28 Typical High $812.83 | Facility | None | $38.90 | $81.28 | $812.83 |
Select Health Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $467.74 | Professional | None | $35.48 | $54.95 | $467.74 |
United Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $288.40 | Professional | None | $147.91 | $190.55 | $288.40 |
United Setting Professional Modifier RR · Rental Typical Low $16.22 Median $19.05 Typical High $28.84 | Professional | RR · Rental | $16.22 | $19.05 | $28.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $141.25 Typical High $218.78 | Professional | UE · Used equipment | $123.03 | $141.25 | $218.78 |
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 $269.15 Median $331.13 Typical High $501.19 | Professional | KU · Bidding program group 3 | $269.15 | $331.13 | $501.19 |
Where Colorado sits
The same service costs 2.2 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
$288
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.