How much rates vary
Facilitymedian $4 · 10th to 90th $2 to $11Professionalmedian $2 · 10th to 90th $2 to $8
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 $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $4.17 | Professional | None | $2.45 | $2.45 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.23 Typical High $2.04 | Professional | 52 · Reduced service | $1.23 | $1.23 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.49 Typical High $0.83 | Professional | 53 · Discontinued | $0.49 | $0.49 | $0.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.82 Median $1.82 Typical High $3.09 | Professional | 54 · Surgery only | $1.82 | $1.82 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.37 Typical High $0.62 | Professional | 55 · Aftercare only | $0.37 | $0.37 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.74 Median $2.45 Typical High $9.12 | Professional | None | $1.74 | $2.45 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Denver HMP Setting Facility Modifier None Typical Low $2.45 Median $3.98 Typical High $9.77 | Facility | None | $2.45 | $3.98 | $9.77 |
Denver HMP Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $11.48 | Professional | None | $5.75 | $7.76 | $11.48 |
Select Health Setting Facility Modifier None Typical Low $5.75 Median $10.72 Typical High $12.30 | Facility | None | $5.75 | $10.72 | $12.30 |
Select Health Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $10.23 | Professional | None | $5.13 | $5.75 | $10.23 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.40 Typical High $3.89 | Professional | None | $2.29 | $2.40 | $3.89 |
Where Colorado sits
The same service costs 3.0 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· 47th of 51
$2.45
RI $6.76NY $2.29
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.