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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $57.54 Typical High $74.13 | Professional | None | $36.31 | $57.54 | $74.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $43.65 Typical High $54.95 | Professional | UE · Used equipment | $27.54 | $43.65 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $257.04 | Facility | None | $229.09 | $251.19 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | None | $91.20 | $91.20 | $97.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.12 Typical High $9.77 | Professional | RR · Rental | $9.12 | $9.12 | $9.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | UE · Used equipment | $67.61 | $67.61 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Facility | None | $74.13 | $74.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | None | $63.10 | $74.13 | $97.72 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $72.44 Typical High $169.82 | Facility | None | $36.31 | $72.44 | $169.82 |
Denver HMP Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $173.78 | Professional | None | $83.18 | $112.20 | $173.78 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $8.32 Median $11.22 Typical High $17.38 | Professional | RR · Rental | $8.32 | $11.22 | $17.38 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $85.11 Typical High $128.82 | Professional | UE · Used equipment | $61.66 | $85.11 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $11.75 Median $25.12 Typical High $251.19 | Facility | None | $11.75 | $25.12 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $131.83 | Professional | None | $12.02 | $16.60 | $131.83 |
United Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $81.28 | Professional | None | $40.74 | $54.95 | $81.28 |
United Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.50 Typical High $8.13 | Professional | RR · Rental | $4.47 | $5.50 | $8.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $41.69 Typical High $60.26 | Professional | UE · Used equipment | $33.11 | $41.69 | $60.26 |
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 $83.18 Median $100.00 Typical High $154.88 | Professional | KU · Bidding program group 3 | $83.18 | $100.00 | $154.88 |
Where Colorado sits
The same service costs 4.6 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· 18th of 51
$91.20
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.