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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | None | $123.03 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $61.66 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $25.12 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $18.62 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $12.30 | $15.14 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $380.19 Typical High $389.05 | Facility | None | $346.74 | $380.19 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $134.90 Typical High $229.09 | Professional | None | $75.86 | $134.90 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $154.88 Typical High $213.80 | Facility | None | $134.90 | $154.88 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $295.12 | Professional | None | $177.83 | $177.83 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $380.19 | Facility | None | $177.83 | $331.13 | $380.19 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | None | $158.49 | $158.49 | $239.88 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $15.14 Median $85.11 Typical High $125.89 | Professional | None | $15.14 | $85.11 | $125.89 |
Where Colorado sits
The same service costs 5.0 times more in Hawaii than in Florida. 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
$126
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.