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 $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $7.08 | Professional | None | $3.47 | $3.47 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $3.24 | Professional | 52 · Reduced service | $1.74 | $1.74 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $1.29 | Professional | 53 · Discontinued | $0.71 | $0.71 | $1.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.63 Median $2.63 Typical High $4.79 | Professional | 54 · Surgery only | $2.63 | $2.63 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $0.95 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.35 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.35 | $0.35 | $0.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $14.45 | Professional | None | $2.51 | $3.47 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Denver HMP Setting Facility Modifier None Typical Low $3.47 Median $5.62 Typical High $13.80 | Facility | None | $3.47 | $5.62 | $13.80 |
Denver HMP Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $16.60 | Professional | None | $8.32 | $10.96 | $16.60 |
Select Health Setting Facility Modifier None Typical Low $8.32 Median $15.14 Typical High $17.38 | Facility | None | $8.32 | $15.14 | $17.38 |
Select Health Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $14.45 | Professional | None | $7.24 | $8.13 | $14.45 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.47 Typical High $5.62 | Professional | None | $3.24 | $3.47 | $5.62 |
Where Colorado sits
The same service costs 3.2 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
$3.47
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.