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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $95.50 | Professional | None | $57.54 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $28.84 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $11.48 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $8.71 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.75 | $9.55 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $245.47 | Facility | None | $218.78 | $239.88 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $77.62 Typical High $128.82 | Professional | None | $40.74 | $77.62 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Denver HMP Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $134.90 | Facility | None | $81.28 | $95.50 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $186.21 | Professional | None | $114.82 | $114.82 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $239.88 | Facility | None | $114.82 | $208.93 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $154.88 | Professional | None | $100.00 | $100.00 | $154.88 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $15.14 Median $47.86 Typical High $69.18 | Professional | None | $15.14 | $47.86 | $69.18 |
Where Colorado sits
The same service costs 2.5 times more in Montana than in Missouri. 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· 27th of 51
$69.18
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.