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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $123.03 | Professional | None | $74.13 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $37.15 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $14.79 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $11.22 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $7.41 | $12.30 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $309.03 Typical High $316.23 | Facility | None | $281.84 | $309.03 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $83.18 Typical High $141.25 | Professional | None | $48.98 | $83.18 | $141.25 |
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 $93.33 Median $123.03 Typical High $173.78 | Facility | None | $93.33 | $123.03 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $239.88 | Professional | None | $147.91 | $147.91 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $269.15 Typical High $309.03 | Facility | None | $147.91 | $269.15 | $309.03 |
Select Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $199.53 | Professional | None | $128.82 | $128.82 | $199.53 |
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 $48.98 Median $53.70 Typical High $77.62 | Professional | None | $48.98 | $53.70 | $77.62 |
Where Colorado sits
The same service costs 3.2 times more in Hawaii than in Arizona. 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· 25th of 51
$81.28
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.