How much rates vary
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $70.79 | Professional | None | $66.07 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $51.29 Typical High $53.70 | Professional | 54 · Surgery only | $50.12 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.23 Typical High $10.72 | Professional | 55 · Aftercare only | $10.00 | $10.23 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.76 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.61 | $6.76 | $7.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Denver HMP Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $97.72 | Facility | None | $54.95 | $72.44 | $97.72 |
Where Colorado sits
The same service costs 123.0 times more in Alabama than in New Jersey. 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· 28th of 51
$74.13
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.