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 $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $12.02 | Professional | None | $7.24 | $7.24 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.63 Typical High $6.03 | Professional | 52 · Reduced service | $3.63 | $3.63 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $2.40 | Professional | 53 · Discontinued | $1.45 | $1.45 | $2.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.37 Median $5.37 Typical High $9.12 | Professional | 54 · Surgery only | $5.37 | $5.37 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.10 Median $1.10 Typical High $1.82 | Professional | 55 · Aftercare only | $1.10 | $1.10 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.72 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.72 | $0.72 | $1.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $8.51 Typical High $16.98 | Professional | None | $5.13 | $8.51 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Denver HMP Setting Facility Modifier None Typical Low $7.24 Median $11.75 Typical High $22.39 | Facility | None | $7.24 | $11.75 | $22.39 |
Denver HMP Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $34.67 | Professional | None | $16.98 | $22.91 | $34.67 |
Select Health Setting Facility Modifier None Typical Low $16.98 Median $31.62 Typical High $36.31 | Facility | None | $16.98 | $31.62 | $36.31 |
Select Health Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $30.20 | Professional | None | $15.14 | $16.98 | $30.20 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.08 Typical High $11.48 | Professional | None | $6.76 | $7.08 | $11.48 |
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
$7.24
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.