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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $83.18 | Professional | None | $58.88 | $58.88 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $257.04 | Facility | None | $234.42 | $257.04 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $102.33 | Professional | None | $93.33 | $95.50 | $102.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.55 Typical High $10.23 | Professional | RR · Rental | $9.33 | $9.55 | $10.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $70.79 Typical High $75.86 | Professional | UE · Used equipment | $69.18 | $70.79 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $93.33 | Professional | None | $66.07 | $77.62 | $93.33 |
Denver HMP Setting Facility Modifier None Typical Low $38.02 Median $75.86 Typical High $177.83 | Facility | None | $38.02 | $75.86 | $177.83 |
Denver HMP Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $173.78 | Professional | None | $85.11 | $114.82 | $173.78 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $8.51 Median $11.48 Typical High $17.38 | Professional | RR · Rental | $8.51 | $11.48 | $17.38 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $85.11 Typical High $131.83 | Professional | UE · Used equipment | $63.10 | $85.11 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $12.02 Median $25.12 Typical High $251.19 | Facility | None | $12.02 | $25.12 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $138.04 | Professional | None | $12.59 | $16.98 | $138.04 |
United Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $85.11 | Professional | None | $43.65 | $57.54 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $4.68 Median $5.75 Typical High $8.51 | Professional | RR · Rental | $4.68 | $5.75 | $8.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $43.65 Typical High $64.57 | Professional | UE · Used equipment | $34.67 | $43.65 | $64.57 |
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 $85.11 Median $102.33 Typical High $154.88 | Professional | KU · Bidding program group 3 | $85.11 | $102.33 | $154.88 |
Where Colorado sits
The same service costs 2.8 times more in Kansas than in New Mexico. 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· 22nd of 51
$93.33
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.