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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $89.13 | Professional | None | $56.23 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $28.18 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $11.22 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $8.51 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $5.62 | $8.91 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $229.09 Typical High $234.42 | Facility | None | $208.93 | $229.09 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $67.61 Typical High $114.82 | Professional | None | $33.88 | $67.61 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $128.82 | Facility | None | $74.13 | $91.20 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $177.83 | Professional | None | $107.15 | $107.15 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $229.09 | Facility | None | $107.15 | $199.53 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $144.54 | Professional | None | $95.50 | $95.50 | $144.54 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $10.00 Median $42.66 Typical High $63.10 | Professional | None | $10.00 | $42.66 | $63.10 |
Where Colorado sits
The same service costs 3.5 times more in Hawaii 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
$60.26
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.