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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $28.84 | Professional | None | $19.05 | $19.05 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $83.18 Typical High $83.18 | Facility | None | $75.86 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $30.20 Typical High $32.36 | Professional | None | $29.51 | $30.20 | $32.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.95 Median $3.02 Typical High $3.24 | Professional | RR · Rental | $2.95 | $3.02 | $3.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $22.91 Typical High $23.99 | Professional | UE · Used equipment | $22.39 | $22.91 | $23.99 |
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 $29.51 | Professional | None | $21.38 | $25.12 | $29.51 |
Denver HMP Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $56.23 | Facility | None | $13.80 | $23.99 | $56.23 |
Denver HMP Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $56.23 | Professional | None | $26.92 | $37.15 | $56.23 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.69 Median $3.72 Typical High $5.62 | Professional | RR · Rental | $2.69 | $3.72 | $5.62 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $27.54 Typical High $42.66 | Professional | UE · Used equipment | $20.42 | $27.54 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $3.89 Median $8.13 Typical High $81.28 | Facility | None | $3.89 | $8.13 | $81.28 |
Select Health Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $42.66 | Professional | None | $3.80 | $5.50 | $42.66 |
United Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $28.84 | Professional | None | $14.45 | $19.05 | $28.84 |
United Setting Professional Modifier RR · Rental Typical Low $1.70 Median $1.91 Typical High $2.88 | Professional | RR · Rental | $1.70 | $1.91 | $2.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $14.13 Typical High $21.38 | Professional | UE · Used equipment | $12.88 | $14.13 | $21.38 |
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 $26.92 Median $33.11 Typical High $50.12 | Professional | KU · Bidding program group 3 | $26.92 | $33.11 | $50.12 |
Where Colorado sits
The same service costs 2.1 times more in Wisconsin 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
$29.51
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.