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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $79.43 | Professional | None | $61.66 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $38.90 Typical High $39.81 | Professional | 52 · Reduced service | $30.90 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $12.30 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $11.75 Typical High $12.02 | Professional | 55 · Aftercare only | $9.33 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.76 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.17 | $7.76 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $204.17 | Facility | None | $181.97 | $199.53 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $70.79 Typical High $120.23 | Professional | None | $36.31 | $70.79 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Denver HMP Setting Facility Modifier None Typical Low $70.79 Median $81.28 Typical High $112.20 | Facility | None | $70.79 | $81.28 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $154.88 | Professional | None | $93.33 | $93.33 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $199.53 | Facility | None | $93.33 | $173.78 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | None | $83.18 | $83.18 | $125.89 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $15.14 Median $45.71 Typical High $66.07 | Professional | None | $15.14 | $45.71 | $66.07 |
Where Colorado sits
The same service costs 2.9 times more in Hawaii than in New York. 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· 33rd of 51
$66.07
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.