How much rates vary
Facilitymedian $66 · 10th to 90th $39 to $191Professionalmedian $81 · 10th to 90th $40 to $110
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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $77.62 | Professional | None | $38.90 | $51.29 | $77.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $38.02 Typical High $40.74 | Professional | UE · Used equipment | $29.51 | $38.02 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $223.87 | Facility | None | $199.53 | $218.78 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | None | $81.28 | $81.28 | $91.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.13 Median $8.13 Typical High $9.12 | Professional | RR · Rental | $8.13 | $8.13 | $9.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | UE · Used equipment | $60.26 | $60.26 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $87.10 | Professional | None | $56.23 | $66.07 | $87.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.62 Median $6.61 Typical High $8.71 | Professional | RR · Rental | $5.62 | $6.61 | $8.71 |
Denver HMP Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $154.88 | Facility | None | $38.90 | $66.07 | $154.88 |
Denver HMP Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $151.36 | Professional | None | $72.44 | $100.00 | $151.36 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $7.24 Median $10.00 Typical High $15.14 | Professional | RR · Rental | $7.24 | $10.00 | $15.14 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $74.13 Typical High $112.20 | Professional | UE · Used equipment | $54.95 | $74.13 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $10.47 Median $21.88 Typical High $218.78 | Facility | None | $10.47 | $21.88 | $218.78 |
Select Health Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $120.23 | Professional | None | $10.96 | $14.45 | $120.23 |
United Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $72.44 | Professional | None | $38.90 | $54.95 | $72.44 |
United Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.50 Typical High $7.24 | Professional | RR · Rental | $4.79 | $5.50 | $7.24 |
United Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $40.74 Typical High $54.95 | Professional | UE · Used equipment | $35.48 | $40.74 | $54.95 |
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 $72.44 Median $89.13 Typical High $134.90 | Professional | KU · Bidding program group 3 | $72.44 | $89.13 | $134.90 |
Where Colorado sits
The same service costs 2.5 times more in Kansas 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· 19th of 51
$81.28
KS $132IL $52.48
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.