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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $29.51 | Professional | None | $18.20 | $18.20 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $15.14 | Professional | 52 · Reduced service | $8.91 | $8.91 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $6.03 | Professional | 53 · Discontinued | $3.63 | $3.63 | $6.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.49 Median $13.49 Typical High $22.39 | Professional | 54 · Surgery only | $13.49 | $13.49 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $4.47 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $3.02 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $3.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $40.74 | Professional | None | $12.88 | $18.20 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $29.51 Typical High $47.86 | Facility | None | $18.20 | $29.51 | $47.86 |
Denver HMP Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $85.11 | Professional | None | $42.66 | $56.23 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $89.13 | Facility | None | $42.66 | $79.43 | $89.13 |
Select Health Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $74.13 | Professional | None | $38.02 | $41.69 | $74.13 |
United Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $28.84 | Professional | None | $16.98 | $17.78 | $28.84 |
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
$18.20
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.