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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | None | $31.62 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $26.30 | Professional | 52 · Reduced service | $15.85 | $15.85 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $10.72 | Professional | 53 · Discontinued | $6.31 | $6.31 | $10.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $23.99 Typical High $39.81 | Professional | 54 · Surgery only | $23.99 | $23.99 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $7.94 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $5.37 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $85.11 | Professional | None | $22.91 | $37.15 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Denver HMP Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $114.82 | Facility | None | $31.62 | $51.29 | $114.82 |
Denver HMP Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $144.54 | Professional | None | $75.86 | $100.00 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $138.04 Typical High $158.49 | Facility | None | $75.86 | $138.04 | $158.49 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $131.83 | Professional | None | $66.07 | $74.13 | $131.83 |
United Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $50.12 | Professional | None | $29.51 | $31.62 | $50.12 |
Where Colorado sits
The same service costs 2.8 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
$31.62
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.