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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $63.10 | Professional | None | $45.71 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $28.18 Typical High $31.62 | Professional | 52 · Reduced service | $22.91 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $9.12 | $11.48 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $8.51 Typical High $9.55 | Professional | 55 · Aftercare only | $6.92 | $8.51 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $5.62 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.57 | $5.62 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $147.91 | Facility | None | $131.83 | $144.54 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $87.10 | Professional | None | $32.36 | $51.29 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Denver HMP Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $81.28 | Facility | None | $51.29 | $58.88 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $112.20 | Professional | None | $67.61 | $67.61 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $125.89 Typical High $144.54 | Facility | None | $67.61 | $125.89 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | None | $60.26 | $60.26 | $91.20 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $10.00 Median $32.36 Typical High $47.86 | Professional | None | $10.00 | $32.36 | $47.86 |
Where Colorado sits
The same service costs 2.7 times more in Hawaii than in Alabama. 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
$47.86
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.