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 $30.20 Median $30.20 Typical High $77.62 | Facility | None | $30.20 | $30.20 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | None | $30.20 | $30.20 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $58.88 Typical High $158.49 | Facility | None | $53.70 | $58.88 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $77.62 | Professional | None | $29.51 | $33.88 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.39 Median $33.88 Typical High $34.67 | Professional | RR · Rental | $3.39 | $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 $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Denver HMP Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $69.18 | Facility | None | $17.38 | $30.20 | $69.18 |
Denver HMP Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $72.44 Typical High $112.20 | Professional | None | $41.69 | $72.44 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $54.95 Median $102.33 Typical High $117.49 | Facility | None | $54.95 | $102.33 | $117.49 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $72.44 | Professional | None | $45.71 | $54.95 | $72.44 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $40.74 | Professional | None | $24.55 | $26.92 | $40.74 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | UE · Used equipment | $24.55 | $24.55 | $24.55 |
Where Colorado sits
The same service costs 2.8 times more in Hawaii than in Delaware. 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· 42nd of 51
$30.20
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.