How much rates vary
Facilitymedian $120 · 10th to 90th $107 to $170Professionalmedian $120 · 10th to 90th $19 to $120
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $120.23 Typical High $120.23 | Professional | None | $18.62 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $9.12 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $3.72 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $2.75 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $1.82 | $12.02 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $23.44 Typical High $30.20 | Professional | None | $4.47 | $23.44 | $30.20 |
Denver HMP Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $169.82 | Facility | None | $107.15 | $120.23 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $346.74 | Professional | None | $154.88 | $154.88 | $346.74 |
Where Colorado sits
The same service costs 29.5 times more in Mississippi than in Rhode Island. 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· 5th of 51
$120
MS $120RI $4.07
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.