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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $53.70 | Professional | None | $39.81 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $19.50 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.00 Typical High $10.72 | Professional | 53 · Discontinued | $7.94 | $10.00 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.59 Typical High $8.13 | Professional | 55 · Aftercare only | $5.89 | $7.59 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.01 Typical High $5.37 | Professional | 56 · Pre-op care only | $3.98 | $5.01 | $5.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $131.83 | Facility | None | $117.49 | $128.82 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $50.12 Typical High $77.62 | Professional | None | $28.84 | $50.12 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Denver HMP Setting Facility Modifier None Typical Low $45.71 Median $52.48 Typical High $72.44 | Facility | None | $45.71 | $52.48 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $100.00 | Professional | None | $60.26 | $60.26 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $112.20 Typical High $128.82 | Facility | None | $60.26 | $112.20 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $81.28 | Professional | None | $53.70 | $53.70 | $81.28 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $10.00 Median $29.51 Typical High $42.66 | Professional | None | $10.00 | $29.51 | $42.66 |
Where Colorado sits
The same service costs 2.8 times more in Hawaii than in Utah. 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
$42.66
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.