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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $70.79 | Professional | None | $48.98 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $23.99 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $9.77 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $7.24 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.79 | $7.08 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $181.97 | Facility | None | $162.18 | $177.83 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $57.54 Typical High $97.72 | Professional | None | $30.90 | $57.54 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Denver HMP Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $100.00 | Facility | None | $61.66 | $70.79 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $138.04 | Professional | None | $85.11 | $85.11 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $154.88 Typical High $177.83 | Facility | None | $85.11 | $154.88 | $177.83 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $114.82 | Professional | None | $74.13 | $74.13 | $114.82 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
United Setting Professional Modifier None Typical Low $12.02 Median $36.31 Typical High $51.29 | Professional | None | $12.02 | $36.31 | $51.29 |
Where Colorado sits
The same service costs 2.9 times more in Hawaii 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· 29th of 51
$50.12
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.