How much rates vary
Facilitymedian $9 · 10th to 90th $5 to $24Professionalmedian $5 · 10th to 90th $5 to $15
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 $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $8.32 | Professional | None | $5.01 | $5.01 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $4.17 | Professional | 52 · Reduced service | $2.51 | $2.51 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.70 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.80 Median $3.80 Typical High $6.31 | Professional | 54 · Surgery only | $3.80 | $3.80 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.76 Typical High $1.26 | Professional | 55 · Aftercare only | $0.76 | $0.76 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.50 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.50 | $0.50 | $0.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $5.89 Typical High $18.20 | Professional | None | $3.55 | $5.89 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Denver HMP Setting Facility Modifier None Typical Low $5.01 Median $8.13 Typical High $19.95 | Facility | None | $5.01 | $8.13 | $19.95 |
Denver HMP Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $23.99 | Professional | None | $12.02 | $15.85 | $23.99 |
Select Health Setting Facility Modifier None Typical Low $12.02 Median $21.88 Typical High $25.12 | Facility | None | $12.02 | $21.88 | $25.12 |
Select Health Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $20.89 | Professional | None | $10.47 | $11.75 | $20.89 |
United Setting Professional Modifier None Typical Low $4.68 Median $4.90 Typical High $7.94 | Professional | None | $4.68 | $4.90 | $7.94 |
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
$5.01
RI $13.49NY $4.68
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.