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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $77.62 | Professional | None | $60.26 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $30.20 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $12.02 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.22 Typical High $11.48 | Professional | 55 · Aftercare only | $9.12 | $11.22 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.41 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.03 | $7.41 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $190.55 Typical High $194.98 | Facility | None | $173.78 | $190.55 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $67.61 Typical High $114.82 | Professional | None | $37.15 | $67.61 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Denver HMP Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $107.15 | Facility | None | $67.61 | $77.62 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $147.91 | Professional | None | $89.13 | $89.13 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $165.96 Typical High $190.55 | Facility | None | $89.13 | $165.96 | $190.55 |
Select Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | None | $79.43 | $79.43 | $120.23 |
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 $41.69 Typical High $63.10 | Professional | None | $10.00 | $41.69 | $63.10 |
Where Colorado sits
The same service costs 3.2 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· 30th of 51
$63.10
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.