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 $1.02 Median $2.04 Typical High $4.37 | Facility | None | $1.02 | $2.04 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.51 | Professional | None | $1.02 | $1.02 | $1.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.52 Median $0.52 Typical High $0.76 | Professional | 52 · Reduced service | $0.52 | $0.52 | $0.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.21 Median $0.21 Typical High $0.41 | Professional | 53 · Discontinued | $0.21 | $0.21 | $0.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.31 | Professional | 55 · Aftercare only | $0.15 | $0.15 | $0.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Cigna Setting Facility Modifier None Typical Low $0.65 Median $0.65 Typical High $0.91 | Facility | None | $0.65 | $0.65 | $0.91 |
Cigna Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Denver HMP Setting Facility Modifier None Typical Low $0.56 Median $1.02 Typical High $1.48 | Facility | None | $0.56 | $1.02 | $1.48 |
United Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | None | $0.36 | $0.36 | $0.36 |
Where Colorado sits
The same service costs 27.5 times more in Kansas than in New York. 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
$0.65
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.