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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $100.00 | Professional | None | $66.07 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $33.11 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $13.18 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $10.00 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.61 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $257.04 | Facility | None | $229.09 | $251.19 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $83.18 Typical High $138.04 | Professional | None | $43.65 | $83.18 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $141.25 | Facility | None | $87.10 | $100.00 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $194.98 | Professional | None | $120.23 | $120.23 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $251.19 | Facility | None | $120.23 | $218.78 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $162.18 | Professional | None | $104.71 | $104.71 | $162.18 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $12.02 Median $47.86 Typical High $72.44 | Professional | None | $12.02 | $47.86 | $72.44 |
Where Colorado sits
The same service costs 2.6 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
$70.79
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.