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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $891.25 | Professional | None | $562.34 | $562.34 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $2,454.71 | Facility | None | $2,187.76 | $2,398.83 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $870.96 | Professional | None | $851.14 | $870.96 | $870.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $85.11 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $645.65 Typical High $645.65 | Professional | UE · Used equipment | $630.96 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $891.25 | Professional | None | $288.40 | $338.84 | $891.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.84 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $28.84 | $39.81 | $39.81 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $229.09 | $316.23 | $316.23 |
Denver HMP Setting Facility Modifier None Typical Low $562.34 Median $812.83 Typical High $1,445.44 | Facility | None | $562.34 | $812.83 | $1,445.44 |
Denver HMP Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,659.59 | Professional | None | $794.33 | $1,096.48 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $79.43 Median $109.65 Typical High $165.96 | Professional | RR · Rental | $79.43 | $109.65 | $165.96 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $812.83 Typical High $1,230.27 | Professional | UE · Used equipment | $602.56 | $812.83 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $239.88 Typical High $2,398.83 | Facility | None | $114.82 | $239.88 | $2,398.83 |
Select Health Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $1,318.26 | Professional | None | $107.15 | $158.49 | $1,318.26 |
United Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $851.14 | Professional | None | $436.52 | $549.54 | $851.14 |
United Setting Professional Modifier RR · Rental Typical Low $47.86 Median $54.95 Typical High $85.11 | Professional | RR · Rental | $47.86 | $54.95 | $85.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $407.38 Typical High $630.96 | Professional | UE · Used equipment | $354.81 | $407.38 | $630.96 |
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 $794.33 Median $1,023.29 Typical High $1,479.11 | Professional | KU · Bidding program group 3 | $794.33 | $1,023.29 | $1,479.11 |
Where Colorado sits
The same service costs 3.1 times more in Wisconsin than in Vermont. 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
$851
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.