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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $15.49 | Professional | None | $10.00 | $10.00 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $43.65 Typical High $43.65 | Facility | None | $39.81 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | None | $14.79 | $14.79 | $15.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.48 Median $1.48 Typical High $1.51 | Professional | RR · Rental | $1.48 | $1.48 | $1.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $10.96 Typical High $12.02 | Professional | UE · Used equipment | $10.96 | $10.96 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $15.85 | Professional | None | $11.22 | $13.18 | $15.85 |
Denver HMP Setting Facility Modifier None Typical Low $6.31 Median $12.88 Typical High $26.30 | Facility | None | $6.31 | $12.88 | $26.30 |
Denver HMP Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $29.51 | Professional | None | $14.45 | $19.50 | $29.51 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.45 Median $1.95 Typical High $2.95 | Professional | RR · Rental | $1.45 | $1.95 | $2.95 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $14.45 Typical High $22.39 | Professional | UE · Used equipment | $10.72 | $14.45 | $22.39 |
Select Health Setting Facility Modifier None Typical Low $2.04 Median $4.27 Typical High $42.66 | Facility | None | $2.04 | $4.27 | $42.66 |
Select Health Setting Professional Modifier None Typical Low $1.86 Median $2.88 Typical High $22.39 | Professional | None | $1.86 | $2.88 | $22.39 |
United Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $14.79 | Professional | None | $7.76 | $9.77 | $14.79 |
United Setting Professional Modifier RR · Rental Typical Low $0.78 Median $0.98 Typical High $1.48 | Professional | RR · Rental | $0.78 | $0.98 | $1.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $7.41 Typical High $11.22 | Professional | UE · Used equipment | $5.89 | $7.41 | $11.22 |
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 $14.45 Median $17.38 Typical High $26.30 | Professional | KU · Bidding program group 3 | $14.45 | $17.38 | $26.30 |
Where Colorado sits
The same service costs 2.7 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· 20th of 51
$14.79
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.