How much rates vary
Facilitymedian $20 · 10th to 90th $15 to $43Professionalmedian $15 · 10th to 90th $9 to $20
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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $19.50 | Professional | None | $11.75 | $16.60 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $8.32 Typical High $9.55 | Professional | 52 · Reduced service | $6.03 | $8.32 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.39 Typical High $3.80 | Professional | 53 · Discontinued | $2.40 | $3.39 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.51 Typical High $2.88 | Professional | 55 · Aftercare only | $1.82 | $2.51 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.66 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.20 | $1.66 | $1.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $42.66 Typical High $43.65 | Facility | None | $38.90 | $42.66 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $14.13 Typical High $23.99 | Professional | None | $8.13 | $14.13 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Denver HMP Setting Facility Modifier None Typical Low $13.80 Median $16.98 Typical High $23.99 | Facility | None | $13.80 | $16.98 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $33.11 | Professional | None | $19.95 | $19.95 | $33.11 |
Select Health Setting Facility Modifier None Typical Low $19.95 Median $37.15 Typical High $42.66 | Facility | None | $19.95 | $37.15 | $42.66 |
Select Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $26.92 | Professional | None | $17.78 | $17.78 | $26.92 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $16.98 | Professional | None | $8.91 | $9.77 | $16.98 |
Where Colorado sits
The same service costs 3.0 times more in Montana 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· 27th of 51
$15.49
MT $25.12NY $8.51
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.