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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $33.11 | Professional | None | $17.38 | $20.42 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $16.98 | Professional | 52 · Reduced service | $10.23 | $10.23 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $6.92 | Professional | 53 · Discontinued | $4.07 | $4.07 | $6.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $15.49 Typical High $25.70 | Professional | 54 · Surgery only | $15.49 | $15.49 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.09 Typical High $5.13 | Professional | 55 · Aftercare only | $3.09 | $3.09 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $3.39 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $3.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $46.77 | Professional | None | $14.45 | $21.88 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Denver HMP Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $56.23 | Facility | None | $20.42 | $33.11 | $56.23 |
Denver HMP Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $97.72 | Professional | None | $48.98 | $64.57 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $89.13 Typical High $102.33 | Facility | None | $48.98 | $89.13 | $102.33 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $85.11 | Professional | None | $42.66 | $47.86 | $85.11 |
United Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $32.36 | Professional | None | $19.05 | $19.95 | $32.36 |
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
$20.42
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.