How much rates vary
Facilitymedian $91 · 10th to 90th $62 to $200Professionalmedian $45 · 10th to 90th $27 to $79
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $79.43 Typical High $79.43 | Professional | None | $40.74 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $22.39 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $8.91 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $6.61 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.47 | $7.94 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $204.17 | Facility | None | $181.97 | $199.53 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $53.70 Typical High $91.20 | Professional | None | $28.18 | $53.70 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Denver HMP Setting Facility Modifier None Typical Low $60.26 Median $79.43 Typical High $112.20 | Facility | None | $60.26 | $79.43 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | None | $95.50 | $95.50 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $199.53 | Facility | None | $95.50 | $173.78 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | None | $83.18 | $83.18 | $128.82 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $10.00 Median $33.11 Typical High $50.12 | Professional | None | $10.00 | $33.11 | $50.12 |
Where Colorado sits
The same service costs 3.1 times more in Montana 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· 27th of 51
$50.12
MT $100NY $32.36
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.