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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $630.96 | Professional | None | $398.11 | $398.11 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,584.89 | $1,737.80 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $630.96 | Professional | None | $602.56 | $602.56 | $630.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | RR · Rental | $60.26 | $60.26 | $63.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | UE · Used equipment | $457.09 | $457.09 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $645.65 | Professional | None | $467.74 | $549.54 | $645.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $46.77 Median $64.57 Typical High $64.57 | Professional | RR · Rental | $46.77 | $64.57 | $64.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $512.86 Typical High $512.86 | Professional | UE · Used equipment | $380.19 | $512.86 | $512.86 |
Denver HMP Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $1,174.90 | Facility | None | $398.11 | $549.54 | $1,174.90 |
Denver HMP Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,174.90 | Professional | None | $575.44 | $776.25 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $57.54 Median $77.62 Typical High $117.49 | Professional | RR · Rental | $57.54 | $77.62 | $117.49 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $426.58 Median $575.44 Typical High $891.25 | Professional | UE · Used equipment | $426.58 | $575.44 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $169.82 Typical High $1,698.24 | Facility | None | $81.28 | $169.82 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $977.24 | Professional | None | $81.28 | $114.82 | $977.24 |
United Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $575.44 | Professional | None | $295.12 | $380.19 | $575.44 |
United Setting Professional Modifier RR · Rental Typical Low $33.11 Median $38.02 Typical High $57.54 | Professional | RR · Rental | $33.11 | $38.02 | $57.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $281.84 Typical High $436.52 | Professional | UE · Used equipment | $251.19 | $281.84 | $436.52 |
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 $575.44 Median $741.31 Typical High $1,071.52 | Professional | KU · Bidding program group 3 | $575.44 | $741.31 | $1,071.52 |
Where Colorado sits
The same service costs 2.2 times more in Hawaii than in Arizona. 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· 24th of 51
$603
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.