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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $52.48 | Professional | None | $15.85 | $15.85 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $14.13 | Professional | 52 · Reduced service | $7.76 | $7.76 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $5.75 | Professional | 53 · Discontinued | $3.16 | $3.16 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11.75 Median $11.75 Typical High $21.38 | Professional | 54 · Surgery only | $11.75 | $11.75 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $2.34 Typical High $4.27 | Professional | 55 · Aftercare only | $2.34 | $2.34 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $2.82 | Professional | 56 · Pre-op care only | $1.58 | $1.58 | $2.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $61.66 | Professional | None | $11.22 | $18.62 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Denver HMP Setting Facility Modifier None Typical Low $15.85 Median $25.70 Typical High $63.10 | Facility | None | $15.85 | $25.70 | $63.10 |
Denver HMP Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $74.13 | Professional | None | $37.15 | $48.98 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $37.15 Median $69.18 Typical High $77.62 | Facility | None | $37.15 | $69.18 | $77.62 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $64.57 | Professional | None | $33.11 | $36.31 | $64.57 |
United Setting Professional Modifier None Typical Low $14.79 Median $15.49 Typical High $25.12 | Professional | None | $14.79 | $15.49 | $25.12 |
Where Colorado sits
The same service costs 3.1 times more in Rhode Island 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· 49th of 51
$15.85
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.