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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $77.62 | Professional | None | $54.95 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $38.02 Typical High $38.90 | Professional | 52 · Reduced service | $27.54 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $10.96 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.48 Typical High $11.75 | Professional | 55 · Aftercare only | $8.13 | $11.48 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $7.59 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.50 | $7.59 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $194.98 | Facility | None | $177.83 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $81.28 Typical High $117.49 | Professional | None | $36.31 | $81.28 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Denver HMP Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $109.65 | Facility | None | $67.61 | $77.62 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | None | $91.20 | $91.20 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $190.55 | Facility | None | $91.20 | $169.82 | $190.55 |
Select Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $123.03 | Professional | None | $79.43 | $79.43 | $123.03 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $12.02 Median $41.69 Typical High $61.66 | Professional | None | $12.02 | $41.69 | $61.66 |
Where Colorado sits
The same service costs 2.4 times more in Hawaii 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
$60.26
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.