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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $19.95 | Professional | None | $14.79 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $7.41 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.19 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.48 | $2.00 | $2.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $27.54 | Professional | None | $13.49 | $13.49 | $27.54 |
Denver HMP Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $41.69 | Facility | None | $17.78 | $28.18 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $338.84 Typical High $346.74 | Professional | None | $154.88 | $338.84 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Where Colorado sits
The same service costs 14.5 times more in Texas than in West Virginia. 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· 48th of 51
$13.49
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.