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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $363.08 | Professional | None | $239.88 | $239.88 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Facility | None | $954.99 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | None | $363.08 | $371.54 | $371.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $36.31 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | UE · Used equipment | $275.42 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $371.54 | Professional | None | $281.84 | $331.13 | $371.54 |
Denver HMP Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $645.65 | Facility | None | $239.88 | $346.74 | $645.65 |
Denver HMP Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $707.95 | Professional | None | $338.84 | $467.74 | $707.95 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $33.88 Median $46.77 Typical High $70.79 | Professional | RR · Rental | $33.88 | $46.77 | $70.79 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $346.74 Typical High $537.03 | Professional | UE · Used equipment | $257.04 | $346.74 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $102.33 Typical High $1,023.29 | Facility | None | $48.98 | $102.33 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $588.84 | Professional | None | $45.71 | $69.18 | $588.84 |
United Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $363.08 | Professional | None | $186.21 | $239.88 | $363.08 |
United Setting Professional Modifier RR · Rental Typical Low $20.89 Median $23.99 Typical High $36.31 | Professional | RR · Rental | $20.89 | $23.99 | $36.31 |
United Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $177.83 Typical High $269.15 | Professional | UE · Used equipment | $154.88 | $177.83 | $269.15 |
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 $338.84 Median $416.87 Typical High $630.96 | Professional | KU · Bidding program group 3 | $338.84 | $416.87 | $630.96 |
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· 27th of 51
$363
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.