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 $53.70 Median $75.86 Typical High $75.86 | Professional | None | $53.70 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $26.92 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $10.72 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $7.94 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.37 | $7.59 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $190.55 Typical High $194.98 | Facility | None | $173.78 | $190.55 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $67.61 Typical High $109.65 | Professional | None | $36.31 | $67.61 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $75.86 Typical High $107.15 | Facility | None | $66.07 | $75.86 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | None | $91.20 | $91.20 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $190.55 | Facility | None | $91.20 | $165.96 | $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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $15.14 Median $39.81 Typical High $57.54 | Professional | None | $15.14 | $39.81 | $57.54 |
Where Colorado sits
The same service costs 2.7 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
$57.54
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.