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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $22.39 | Professional | None | $16.60 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $8.32 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.27 Typical High $4.47 | Professional | 53 · Discontinued | $3.31 | $4.27 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.24 Typical High $3.31 | Professional | 55 · Aftercare only | $2.45 | $3.24 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $2.14 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.66 | $2.14 | $2.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $54.95 Typical High $54.95 | Facility | None | $50.12 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $29.51 | Professional | None | $10.23 | $18.20 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Denver HMP Setting Facility Modifier None Typical Low $17.78 Median $21.88 Typical High $30.90 | Facility | None | $17.78 | $21.88 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $42.66 | Professional | None | $25.70 | $25.70 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $53.70 | Facility | None | $25.70 | $47.86 | $53.70 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $34.67 | Professional | None | $22.91 | $22.91 | $34.67 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $18.20 | Professional | None | $11.48 | $12.59 | $18.20 |
Where Colorado sits
The same service costs 3.5 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· 28th of 51
$18.20
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.