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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | None | $40.74 | $40.74 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $177.83 | Facility | None | $158.49 | $173.78 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $67.61 | Professional | None | $63.10 | $64.57 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.46 Typical High $6.76 | Professional | RR · Rental | $6.31 | $6.46 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $48.98 Typical High $51.29 | Professional | UE · Used equipment | $46.77 | $48.98 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $63.10 | Professional | None | $39.81 | $46.77 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $25.12 Median $51.29 Typical High $117.49 | Facility | None | $25.12 | $51.29 | $117.49 |
Denver HMP Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $120.23 | Professional | None | $57.54 | $79.43 | $120.23 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $5.75 Median $7.94 Typical High $12.02 | Professional | RR · Rental | $5.75 | $7.94 | $12.02 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $58.88 Typical High $89.13 | Professional | UE · Used equipment | $43.65 | $58.88 | $89.13 |
Select Health Setting Facility Modifier None Typical Low $8.32 Median $17.38 Typical High $173.78 | Facility | None | $8.32 | $17.38 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $93.33 | Professional | None | $8.51 | $11.48 | $93.33 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $57.54 | Professional | None | $29.51 | $38.90 | $57.54 |
United Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.89 Typical High $5.75 | Professional | RR · Rental | $3.09 | $3.89 | $5.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $28.84 Typical High $43.65 | Professional | UE · Used equipment | $22.91 | $28.84 | $43.65 |
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 $57.54 Median $70.79 Typical High $107.15 | Professional | KU · Bidding program group 3 | $57.54 | $70.79 | $107.15 |
Where Colorado sits
The same service costs 2.1 times more in Hawaii than in Arizona. 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· 20th of 51
$63.10
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.