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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $112.20 | Professional | None | $79.43 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $39.81 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $16.60 Typical High $16.98 | Professional | 55 · Aftercare only | $11.75 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.96 Typical High $11.22 | Professional | 56 · Pre-op care only | $7.94 | $10.96 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $281.84 | Facility | None | $257.04 | $281.84 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $120.23 Typical High $173.78 | Professional | None | $51.29 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $112.20 Typical High $158.49 | Facility | None | $97.72 | $112.20 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | None | $131.83 | $131.83 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $275.42 | Facility | None | $131.83 | $245.47 | $275.42 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $177.83 | Professional | None | $114.82 | $114.82 | $177.83 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $15.14 Median $61.66 Typical High $93.33 | Professional | None | $15.14 | $61.66 | $93.33 |
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· 29th of 51
$89.13
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.