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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $57.54 | Professional | None | $43.65 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $21.88 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $8.71 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $6.61 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.37 | $5.75 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $151.36 | Facility | None | $134.90 | $147.91 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $51.29 Typical High $87.10 | Professional | None | $28.84 | $51.29 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Denver HMP Setting Facility Modifier None Typical Low $52.48 Median $60.26 Typical High $83.18 | Facility | None | $52.48 | $60.26 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $114.82 | Professional | None | $69.18 | $69.18 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $147.91 | Facility | None | $69.18 | $128.82 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | None | $61.66 | $61.66 | $93.33 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $12.02 Median $32.36 Typical High $46.77 | Professional | None | $12.02 | $32.36 | $46.77 |
Where Colorado sits
The same service costs 2.8 times more in Montana than in Indiana. 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
$46.77
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.