How much rates vary
Facilitymedian $56 · 10th to 90th $35 to $170Professionalmedian $68 · 10th to 90th $36 to $98
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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $61.66 | Professional | None | $35.48 | $44.67 | $61.66 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $33.88 Typical High $35.48 | Professional | UE · Used equipment | $26.30 | $33.88 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $199.53 | Facility | None | $177.83 | $194.98 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.76 Median $6.76 Typical High $8.13 | Professional | RR · Rental | $6.76 | $6.76 | $8.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | UE · Used equipment | $51.29 | $51.29 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Facility | None | $56.23 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $74.13 | Professional | None | $47.86 | $56.23 | $74.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.62 Typical High $7.41 | Professional | RR · Rental | $4.79 | $5.62 | $7.41 |
Denver HMP Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $141.25 | Facility | None | $35.48 | $58.88 | $141.25 |
Denver HMP Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $134.90 | Professional | None | $64.57 | $87.10 | $134.90 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $6.46 Median $8.71 Typical High $13.49 | Professional | RR · Rental | $6.46 | $8.71 | $13.49 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $66.07 Typical High $100.00 | Professional | UE · Used equipment | $48.98 | $66.07 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $9.33 Median $19.50 Typical High $194.98 | Facility | None | $9.33 | $19.50 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $104.71 | Professional | None | $9.55 | $12.88 | $104.71 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $63.10 | Professional | None | $35.48 | $48.98 | $63.10 |
United Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.90 Typical High $6.31 | Professional | RR · Rental | $4.17 | $4.90 | $6.31 |
United Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $36.31 Typical High $47.86 | Professional | UE · Used equipment | $31.62 | $36.31 | $47.86 |
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 $64.57 Median $79.43 Typical High $120.23 | Professional | KU · Bidding program group 3 | $64.57 | $79.43 | $120.23 |
Where Colorado sits
The same service costs 2.3 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· 25th of 51
$67.61
HI $107IL $45.71
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.