How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.81 Median $0.81 Typical High $0.81 | Facility | None | $0.81 | $0.81 | $0.81 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.87 | Professional | None | $0.81 | $0.81 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.41 Typical High $0.43 | Professional | 52 · Reduced service | $0.41 | $0.41 | $0.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.17 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.13 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.95 Median $1.45 Typical High $2.51 | Facility | None | $0.95 | $1.45 | $2.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | None | $0.87 | $0.87 | $0.87 |
Denver HMP Setting Facility Modifier None Typical Low $0.81 Median $0.81 Typical High $1.17 | Facility | None | $0.81 | $0.81 | $1.17 |
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 |
Select Health Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $1.02 | Professional | None | $0.87 | $0.87 | $1.02 |
United Setting Facility Modifier None Typical Low $239.88 Median $251.19 Typical High $288.40 | Facility | None | $239.88 | $251.19 | $288.40 |
Where Colorado sits
The same service costs 173.8 times more in Missouri than in Illinois. 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· 33rd of 51
$0.87
MO $141IL $0.81
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.