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 $1.82 Median $1.82 Typical High $1.82 | Facility | None | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $3.24 | Professional | None | $1.82 | $1.82 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.91 Median $0.91 Typical High $1.62 | Professional | 52 · Reduced service | $0.91 | $0.91 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.36 Typical High $0.65 | Professional | 53 · Discontinued | $0.36 | $0.36 | $0.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.38 Median $1.38 Typical High $2.40 | Professional | 54 · Surgery only | $1.38 | $1.38 | $2.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.27 Typical High $0.48 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $0.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.26 Median $1.82 Typical High $9.12 | Professional | None | $1.26 | $1.82 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Denver HMP Setting Facility Modifier None Typical Low $1.82 Median $2.95 Typical High $8.91 | Facility | None | $1.82 | $2.95 | $8.91 |
Denver HMP Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.27 Median $5.75 Typical High $8.71 | Professional | None | $4.27 | $5.75 | $8.71 |
Select Health Setting Facility Modifier None Typical Low $4.27 Median $7.94 Typical High $9.12 | Facility | None | $4.27 | $7.94 | $9.12 |
Select Health Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $7.59 | Professional | None | $3.80 | $4.27 | $7.59 |
United Setting Professional Modifier None Typical Low $1.70 Median $1.78 Typical High $2.88 | Professional | None | $1.70 | $1.78 | $2.88 |
Where Colorado sits
The same service costs 4.0 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· 48th of 51
$1.82
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.