How much rates vary
Facilitymedian $68 · 10th to 90th $52 to $141Professionalmedian $43 · 10th to 90th $26 to $56
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 $42.66 Median $56.23 Typical High $56.23 | Professional | None | $42.66 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $20.89 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $8.51 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $6.31 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.27 | $5.62 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $144.54 | Facility | None | $128.82 | $141.25 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $46.77 Typical High $79.43 | Professional | None | $26.92 | $46.77 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Denver HMP Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $79.43 | Facility | None | $50.12 | $57.54 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $109.65 | Professional | None | $67.61 | $67.61 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $123.03 Typical High $141.25 | Facility | None | $67.61 | $123.03 | $141.25 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $91.20 | Professional | None | $58.88 | $58.88 | $91.20 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $12.02 Median $30.90 Typical High $43.65 | Professional | None | $12.02 | $30.90 | $43.65 |
Where Colorado sits
The same service costs 2.8 times more in Montana than in Ohio. 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· 31st of 51
$43.65
MT $83.18OH $30.20
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.