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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $40.74 | Professional | None | $21.88 | $21.88 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $10.96 Typical High $18.62 | Professional | 52 · Reduced service | $10.96 | $10.96 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $7.41 | Professional | 53 · Discontinued | $4.47 | $4.47 | $7.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.60 Median $16.60 Typical High $28.18 | Professional | 54 · Surgery only | $16.60 | $16.60 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.31 Typical High $5.62 | Professional | 55 · Aftercare only | $3.31 | $3.31 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.19 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.19 | $2.19 | $3.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $25.70 Typical High $97.72 | Professional | None | $15.85 | $25.70 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Denver HMP Setting Facility Modifier None Typical Low $21.88 Median $36.31 Typical High $93.33 | Facility | None | $21.88 | $36.31 | $93.33 |
Denver HMP Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $104.71 | Professional | None | $52.48 | $69.18 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $109.65 | Facility | None | $52.48 | $97.72 | $109.65 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $91.20 | Professional | None | $46.77 | $51.29 | $91.20 |
United Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $35.48 | Professional | None | $20.89 | $21.88 | $35.48 |
Where Colorado sits
The same service costs 2.6 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· 49th of 51
$21.88
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.