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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $85.11 | Professional | None | $58.88 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $11.75 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $12.59 Typical High $12.88 | Professional | 55 · Aftercare only | $8.91 | $12.59 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $8.32 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.89 | $8.32 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $213.80 Typical High $218.78 | Facility | None | $194.98 | $213.80 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $83.18 Typical High $125.89 | Professional | None | $39.81 | $83.18 | $125.89 |
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 $75.86 Median $83.18 Typical High $120.23 | Facility | None | $75.86 | $83.18 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | None | $100.00 | $100.00 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $186.21 Typical High $213.80 | Facility | None | $100.00 | $186.21 | $213.80 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $134.90 | Professional | None | $89.13 | $89.13 | $134.90 |
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 $46.77 Typical High $67.61 | Professional | None | $15.14 | $46.77 | $67.61 |
Where Colorado sits
The same service costs 2.3 times more in Hawaii than in Utah. 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
$67.61
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.