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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | None | $28.18 | $28.18 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $123.03 | Facility | None | $112.20 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $45.71 | Professional | None | $43.65 | $44.67 | $45.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.47 Typical High $4.57 | Professional | RR · Rental | $4.37 | $4.47 | $4.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $33.88 Typical High $34.67 | Professional | UE · Used equipment | $32.36 | $33.88 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $42.66 | Professional | None | $30.90 | $36.31 | $42.66 |
Denver HMP Setting Facility Modifier None Typical Low $16.98 Median $34.67 Typical High $79.43 | Facility | None | $16.98 | $34.67 | $79.43 |
Denver HMP Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $83.18 | Professional | None | $39.81 | $54.95 | $83.18 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $3.98 Median $5.50 Typical High $8.32 | Professional | RR · Rental | $3.98 | $5.50 | $8.32 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $40.74 Typical High $63.10 | Professional | UE · Used equipment | $30.20 | $40.74 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $5.75 Median $12.02 Typical High $120.23 | Facility | None | $5.75 | $12.02 | $120.23 |
Select Health Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $63.10 | Professional | None | $5.89 | $7.94 | $63.10 |
United Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $39.81 | Professional | None | $20.42 | $26.92 | $39.81 |
United Setting Professional Modifier RR · Rental Typical Low $2.09 Median $2.69 Typical High $3.98 | Professional | RR · Rental | $2.09 | $2.69 | $3.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $19.95 Typical High $29.51 | Professional | UE · Used equipment | $15.49 | $19.95 | $29.51 |
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 $39.81 Median $48.98 Typical High $74.13 | Professional | KU · Bidding program group 3 | $39.81 | $48.98 | $74.13 |
Where Colorado sits
The same service costs 2.6 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· 21st of 51
$43.65
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.