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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | None | $30.20 | $30.20 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $134.90 | Facility | None | $120.23 | $131.83 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | RR · Rental | $4.68 | $4.68 | $4.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | UE · Used equipment | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $47.86 | Professional | None | $33.88 | $39.81 | $47.86 |
Denver HMP Setting Facility Modifier None Typical Low $19.95 Median $38.90 Typical High $83.18 | Facility | None | $19.95 | $38.90 | $83.18 |
Denver HMP Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $91.20 | Professional | None | $43.65 | $58.88 | $91.20 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.89 Typical High $9.12 | Professional | RR · Rental | $4.37 | $5.89 | $9.12 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $44.67 Typical High $67.61 | Professional | UE · Used equipment | $33.11 | $44.67 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $6.31 Median $13.18 Typical High $131.83 | Facility | None | $6.31 | $13.18 | $131.83 |
Select Health Setting Professional Modifier None Typical Low $5.89 Median $8.71 Typical High $69.18 | Professional | None | $5.89 | $8.71 | $69.18 |
United Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $46.77 | Professional | None | $23.44 | $30.20 | $46.77 |
United Setting Professional Modifier RR · Rental Typical Low $2.45 Median $3.02 Typical High $4.68 | Professional | RR · Rental | $2.45 | $3.02 | $4.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $22.39 Typical High $34.67 | Professional | UE · Used equipment | $18.62 | $22.39 | $34.67 |
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 $43.65 Median $53.70 Typical High $81.28 | Professional | KU · Bidding program group 3 | $43.65 | $53.70 | $81.28 |
Where Colorado sits
The same service costs 3.4 times more in Wisconsin than in Kansas. 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· 22nd of 51
$46.77
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.