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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | None | $36.31 | $36.31 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $30.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $12.02 | Professional | 53 · Discontinued | $7.24 | $7.24 | $12.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | 54 · Surgery only | $26.92 | $26.92 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $9.12 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $6.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $81.28 | Professional | None | $25.70 | $37.15 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $95.50 | Facility | None | $36.31 | $58.88 | $95.50 |
Denver HMP Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $169.82 | Professional | None | $85.11 | $114.82 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $177.83 | Facility | None | $85.11 | $158.49 | $177.83 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $147.91 | Professional | None | $75.86 | $83.18 | $147.91 |
United Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $57.54 | Professional | None | $33.88 | $35.48 | $57.54 |
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· 46th of 51
$36.31
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.