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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $41.69 | Professional | None | $26.92 | $26.92 | $41.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $25.12 | Professional | UE · Used equipment | $20.42 | $20.42 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $117.49 Typical High $120.23 | Facility | None | $107.15 | $117.49 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | None | $41.69 | $42.66 | $42.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $3.89 | $3.89 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $32.36 Typical High $34.67 | Professional | UE · Used equipment | $30.90 | $32.36 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $42.66 | Professional | None | $21.38 | $25.12 | $42.66 |
Denver HMP Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $74.13 | Facility | None | $18.62 | $34.67 | $74.13 |
Denver HMP Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $81.28 | Professional | None | $38.90 | $52.48 | $81.28 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.72 Median $5.01 Typical High $7.59 | Professional | RR · Rental | $3.72 | $5.01 | $7.59 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $39.81 Typical High $60.26 | Professional | UE · Used equipment | $28.84 | $39.81 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $5.25 Median $10.96 Typical High $117.49 | Facility | None | $5.25 | $10.96 | $117.49 |
Select Health Setting Professional Modifier None Typical Low $4.47 Median $32.36 Typical High $61.66 | Professional | None | $4.47 | $32.36 | $61.66 |
United Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $38.90 | Professional | None | $19.05 | $25.70 | $38.90 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.29 Typical High $3.47 | Professional | RR · Rental | $2.00 | $2.29 | $3.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $19.50 Typical High $28.84 | Professional | UE · Used equipment | $16.98 | $19.50 | $28.84 |
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 $38.90 Median $46.77 Typical High $72.44 | Professional | KU · Bidding program group 3 | $38.90 | $46.77 | $72.44 |
Where Colorado sits
The same service costs 4.8 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· 21st of 51
$41.69
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.