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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $42.66 | Professional | None | $21.88 | $33.11 | $42.66 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $25.12 Typical High $30.90 | Professional | UE · Used equipment | $16.22 | $25.12 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $147.91 | Facility | None | $131.83 | $144.54 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | None | $50.12 | $50.12 | $51.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $5.13 | Professional | RR · Rental | $5.01 | $5.01 | $5.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | UE · Used equipment | $38.02 | $38.02 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $52.48 | Professional | None | $38.02 | $44.67 | $52.48 |
Denver HMP Setting Facility Modifier None Typical Low $21.88 Median $42.66 Typical High $87.10 | Facility | None | $21.88 | $42.66 | $87.10 |
Denver HMP Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $100.00 | Professional | None | $47.86 | $64.57 | $100.00 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.79 Median $6.46 Typical High $10.00 | Professional | RR · Rental | $4.79 | $6.46 | $10.00 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $48.98 Typical High $74.13 | Professional | UE · Used equipment | $36.31 | $48.98 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $6.92 Median $14.45 Typical High $144.54 | Facility | None | $6.92 | $14.45 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $6.03 Median $9.55 Typical High $75.86 | Professional | None | $6.03 | $9.55 | $75.86 |
United Setting Professional Modifier None Typical Low $22.39 Median $30.20 Typical High $45.71 | Professional | None | $22.39 | $30.20 | $45.71 |
United Setting Professional Modifier RR · Rental Typical Low $2.75 Median $3.16 Typical High $4.68 | Professional | RR · Rental | $2.75 | $3.16 | $4.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $23.44 Typical High $33.88 | Professional | UE · Used equipment | $19.95 | $23.44 | $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 $47.86 Median $58.88 Typical High $89.13 | Professional | KU · Bidding program group 3 | $47.86 | $58.88 | $89.13 |
Where Colorado sits
The same service costs 3.8 times more in Hawaii than in Illinois. 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
$50.12
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.