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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $31.62 | Professional | None | $19.05 | $19.05 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | 52 · Reduced service | $9.33 | $9.33 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $6.31 | Professional | 53 · Discontinued | $3.80 | $3.80 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $14.13 Median $14.13 Typical High $23.99 | Professional | 54 · Surgery only | $14.13 | $14.13 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $4.79 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $3.16 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $3.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $52.48 | Professional | None | $13.49 | $22.39 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Denver HMP Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $69.18 | Facility | None | $19.05 | $30.90 | $69.18 |
Denver HMP Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $87.10 | Professional | None | $44.67 | $58.88 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $83.18 Typical High $93.33 | Facility | None | $44.67 | $83.18 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $77.62 | Professional | None | $39.81 | $43.65 | $77.62 |
United Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $30.20 | Professional | None | $17.78 | $18.62 | $30.20 |
Where Colorado sits
The same service costs 2.7 times more in Hawaii 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· 47th of 51
$19.05
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.