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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $18.20 | Professional | None | $10.00 | $10.00 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $8.32 | Professional | 52 · Reduced service | $5.01 | $5.01 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $3.39 | Professional | 53 · Discontinued | $2.00 | $2.00 | $3.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.59 Median $7.59 Typical High $12.59 | Professional | 54 · Surgery only | $7.59 | $7.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $2.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $36.31 | Professional | None | $7.08 | $11.75 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Denver HMP Setting Facility Modifier None Typical Low $10.00 Median $16.22 Typical High $39.81 | Facility | None | $10.00 | $16.22 | $39.81 |
Denver HMP Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $47.86 | Professional | None | $23.99 | $31.62 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $23.99 Median $43.65 Typical High $50.12 | Facility | None | $23.99 | $43.65 | $50.12 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $41.69 | Professional | None | $20.89 | $23.44 | $41.69 |
United Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $15.85 | Professional | None | $9.33 | $9.77 | $15.85 |
Where Colorado sits
The same service costs 2.9 times more in Rhode Island 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
$10.00
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.