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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $45.71 | Professional | None | $29.51 | $29.51 | $45.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | UE · Used equipment | $21.88 | $21.88 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $128.82 | Facility | None | $117.49 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | None | $45.71 | $46.77 | $46.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.68 Typical High $11.75 | Professional | RR · Rental | $4.57 | $4.68 | $11.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $35.48 Typical High $35.48 | Professional | UE · Used equipment | $33.88 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $46.77 | Professional | None | $33.11 | $38.90 | $46.77 |
Denver HMP Setting Facility Modifier None Typical Low $20.42 Median $37.15 Typical High $83.18 | Facility | None | $20.42 | $37.15 | $83.18 |
Denver HMP Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $87.10 | Professional | None | $42.66 | $57.54 | $87.10 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.27 Median $5.75 Typical High $8.71 | Professional | RR · Rental | $4.27 | $5.75 | $8.71 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $42.66 Typical High $66.07 | Professional | UE · Used equipment | $31.62 | $42.66 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $6.03 Median $12.59 Typical High $125.89 | Facility | None | $6.03 | $12.59 | $125.89 |
Select Health Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $66.07 | Professional | None | $5.89 | $8.51 | $66.07 |
United Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $44.67 | Professional | None | $22.91 | $29.51 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.95 Typical High $4.47 | Professional | RR · Rental | $2.45 | $2.95 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $21.88 Typical High $33.88 | Professional | UE · Used equipment | $18.62 | $21.88 | $33.88 |
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 $42.66 Median $51.29 Typical High $79.43 | Professional | KU · Bidding program group 3 | $42.66 | $51.29 | $79.43 |
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· 25th of 51
$45.71
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.