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 $51.29 Median $70.79 Typical High $70.79 | Professional | None | $51.29 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $25.12 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $10.23 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $7.59 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.13 | $7.08 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $181.97 | Facility | None | $165.96 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $64.57 Typical High $104.71 | Professional | None | $31.62 | $64.57 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Denver HMP Setting Facility Modifier None Typical Low $64.57 Median $72.44 Typical High $102.33 | Facility | None | $64.57 | $72.44 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None | $85.11 | $85.11 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $158.49 Typical High $177.83 | Facility | None | $85.11 | $158.49 | $177.83 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | None | $75.86 | $75.86 | $114.82 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $12.02 Median $38.90 Typical High $54.95 | Professional | None | $12.02 | $38.90 | $54.95 |
Where Colorado sits
The same service costs 2.6 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· 29th of 51
$54.95
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.