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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | None | $19.50 | $19.50 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $83.18 Typical High $85.11 | Facility | None | $75.86 | $83.18 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | None | $28.84 | $28.84 | $29.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $2.95 | Professional | RR · Rental | $2.88 | $2.88 | $2.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $30.20 Typical High $32.36 | Professional | None | $16.22 | $30.20 | $32.36 |
Denver HMP Setting Facility Modifier None Typical Low $12.30 Median $24.55 Typical High $51.29 | Facility | None | $12.30 | $24.55 | $51.29 |
Denver HMP Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $57.54 | Professional | None | $27.54 | $38.02 | $57.54 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.75 Median $3.80 Typical High $5.75 | Professional | RR · Rental | $2.75 | $3.80 | $5.75 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $28.18 Typical High $42.66 | Professional | UE · Used equipment | $20.89 | $28.18 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $3.98 Median $8.32 Typical High $83.18 | Facility | None | $3.98 | $8.32 | $83.18 |
Select Health Setting Professional Modifier None Typical Low $3.55 Median $5.50 Typical High $43.65 | Professional | None | $3.55 | $5.50 | $43.65 |
United Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $28.18 | Professional | None | $15.14 | $19.05 | $28.18 |
United Setting Professional Modifier RR · Rental Typical Low $1.51 Median $1.91 Typical High $2.82 | Professional | RR · Rental | $1.51 | $1.91 | $2.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $14.13 Typical High $20.89 | Professional | UE · Used equipment | $11.48 | $14.13 | $20.89 |
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 $27.54 Median $33.88 Typical High $51.29 | Professional | KU · Bidding program group 3 | $27.54 | $33.88 | $51.29 |
Where Colorado sits
The same service costs 2.5 times more in Montana than in Rhode Island. 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· 28th of 51
$28.84
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.