How much rates vary
Facilitymedian $105 · 10th to 90th $83 to $229Professionalmedian $76 · 10th to 90th $44 to $98
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $93.33 | Professional | None | $75.86 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $45.71 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $18.20 Typical High $18.62 | Professional | 53 · Discontinued | $15.14 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.80 Typical High $14.13 | Professional | 55 · Aftercare only | $11.48 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $9.12 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.59 | $9.12 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $234.42 | Facility | None | $213.80 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $147.91 | Professional | None | $39.81 | $87.10 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Denver HMP Setting Facility Modifier None Typical Low $79.43 Median $93.33 Typical High $131.83 | Facility | None | $79.43 | $93.33 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | None | $109.65 | $109.65 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $229.09 | Facility | None | $109.65 | $204.17 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | None | $97.72 | $97.72 | $147.91 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $15.14 Median $52.48 Typical High $77.62 | Professional | None | $15.14 | $52.48 | $77.62 |
Where Colorado sits
The same service costs 4.2 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· 30th of 51
$77.62
HI $191NY $45.71
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.