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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $42.66 | Professional | None | $28.18 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $14.13 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $5.62 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $4.17 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $2.82 | $4.27 | $4.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $30.90 Typical High $53.70 | Professional | None | $19.95 | $30.90 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Denver HMP Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $61.66 | Facility | None | $35.48 | $43.65 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $85.11 | Professional | None | $51.29 | $51.29 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $107.15 | Facility | None | $51.29 | $95.50 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $69.18 | Professional | None | $45.71 | $45.71 | $69.18 |
United Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $10.00 Median $20.42 Typical High $29.51 | Professional | None | $10.00 | $20.42 | $29.51 |
Where Colorado sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 29th of 51
$29.51
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.