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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $17.78 | Professional | None | $10.72 | $10.72 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.37 Typical High $8.91 | Professional | 52 · Reduced service | $5.37 | $5.37 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $3.63 | Professional | 53 · Discontinued | $2.14 | $2.14 | $3.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.13 Median $8.13 Typical High $13.49 | Professional | 54 · Surgery only | $8.13 | $8.13 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $2.69 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.07 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.07 | $1.07 | $1.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $26.30 | Professional | None | $7.59 | $12.59 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Denver HMP Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $34.67 | Facility | None | $10.72 | $17.38 | $34.67 |
Denver HMP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $51.29 | Professional | None | $25.70 | $33.88 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $46.77 Typical High $53.70 | Facility | None | $25.70 | $46.77 | $53.70 |
Select Health Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $44.67 | Professional | None | $22.39 | $25.12 | $44.67 |
United Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $16.98 | Professional | None | $10.00 | $10.47 | $16.98 |
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
$10.72
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.