How much rates vary
Facilitymedian $129 · 10th to 90th $83 to $407Professionalmedian $155 · 10th to 90th $69 to $224
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Professional | None | $102.33 | $102.33 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $457.09 | Facility | None | $407.38 | $446.68 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | None | $154.88 | $154.88 | $162.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $16.22 | Professional | RR · Rental | $15.49 | $15.49 | $16.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | UE · Used equipment | $114.82 | $114.82 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $158.49 | Professional | None | $60.26 | $70.79 | $158.49 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.03 Median $8.32 Typical High $8.32 | Professional | RR · Rental | $6.03 | $8.32 | $8.32 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $66.07 Typical High $66.07 | Professional | UE · Used equipment | $48.98 | $66.07 | $66.07 |
Denver HMP Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $302.00 | Facility | None | $102.33 | $144.54 | $302.00 |
Denver HMP Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $309.03 | Professional | None | $147.91 | $204.17 | $309.03 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $14.79 Median $20.42 Typical High $30.90 | Professional | RR · Rental | $14.79 | $20.42 | $30.90 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $151.36 Typical High $229.09 | Professional | UE · Used equipment | $112.20 | $151.36 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $21.38 Median $44.67 Typical High $446.68 | Facility | None | $21.38 | $44.67 | $446.68 |
Select Health Setting Professional Modifier None Typical Low $20.42 Median $29.51 Typical High $234.42 | Professional | None | $20.42 | $29.51 | $234.42 |
United Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $151.36 | Professional | None | $75.86 | $97.72 | $151.36 |
United Setting Professional Modifier RR · Rental Typical Low $8.51 Median $9.77 Typical High $15.14 | Professional | RR · Rental | $8.51 | $9.77 | $15.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $72.44 Typical High $112.20 | Professional | UE · Used equipment | $63.10 | $72.44 | $112.20 |
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 $147.91 Median $190.55 Typical High $275.42 | Professional | KU · Bidding program group 3 | $147.91 | $190.55 | $275.42 |
Where Colorado sits
The same service costs 2.9 times more in Kansas 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· 20th of 51
$155
KS $240VT $83.18
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.