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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | None | $93.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $13.80 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.33 | $12.02 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $309.03 | Facility | None | $275.42 | $302.00 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $131.83 Typical High $181.97 | Professional | None | $60.26 | $131.83 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $169.82 | Facility | None | $97.72 | $123.03 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $239.88 | Professional | None | $144.54 | $144.54 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $302.00 | Facility | None | $144.54 | $269.15 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | None | $125.89 | $125.89 | $194.98 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $15.14 Median $67.61 Typical High $100.00 | Professional | None | $15.14 | $67.61 | $100.00 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in Indiana. 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· 31st of 51
$93.33
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.