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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $16.60 | Professional | None | $11.75 | $11.75 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $51.29 Typical High $51.29 | Facility | None | $46.77 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | None | $17.38 | $17.38 | $17.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $1.78 | Professional | RR · Rental | $1.74 | $1.74 | $1.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | UE · Used equipment | $12.88 | $12.88 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $19.95 | Professional | None | $12.88 | $15.14 | $19.95 |
Denver HMP Setting Facility Modifier None Typical Low $7.41 Median $14.79 Typical High $30.90 | Facility | None | $7.41 | $14.79 | $30.90 |
Denver HMP Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $34.67 | Professional | None | $16.60 | $22.91 | $34.67 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.66 Median $2.29 Typical High $3.47 | Professional | RR · Rental | $1.66 | $2.29 | $3.47 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $16.98 Typical High $26.30 | Professional | UE · Used equipment | $12.59 | $16.98 | $26.30 |
Select Health Setting Facility Modifier None Typical Low $2.40 Median $5.01 Typical High $50.12 | Facility | None | $2.40 | $5.01 | $50.12 |
Select Health Setting Professional Modifier None Typical Low $2.14 Median $3.31 Typical High $26.30 | Professional | None | $2.14 | $3.31 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $17.38 | Professional | None | $9.12 | $11.48 | $17.38 |
United Setting Professional Modifier RR · Rental Typical Low $0.91 Median $1.15 Typical High $1.74 | Professional | RR · Rental | $0.91 | $1.15 | $1.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $8.51 Typical High $13.18 | Professional | UE · Used equipment | $6.92 | $8.51 | $13.18 |
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 $16.60 Median $20.42 Typical High $30.90 | Professional | KU · Bidding program group 3 | $16.60 | $20.42 | $30.90 |
Where Colorado sits
The same service costs 2.3 times more in Kansas 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· 24th of 51
$17.38
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.