How much rates vary
Facilitymedian $13 · 10th to 90th $10 to $27Professionalmedian $9 · 10th to 90th $5 to $12
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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $12.02 | Professional | None | $8.32 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $5.37 Typical High $5.89 | Professional | 52 · Reduced service | $4.07 | $5.37 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $2.14 Typical High $2.40 | Professional | 53 · Discontinued | $1.66 | $2.14 | $2.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.62 Typical High $1.78 | Professional | 55 · Aftercare only | $1.23 | $1.62 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.07 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.81 | $1.07 | $1.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $27.54 Typical High $27.54 | Facility | None | $25.12 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $13.80 | Professional | None | $6.17 | $9.12 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Denver HMP Setting Facility Modifier None Typical Low $9.12 Median $10.96 Typical High $15.49 | Facility | None | $9.12 | $10.96 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | None | $12.88 | $12.88 | $21.38 |
Select Health Setting Facility Modifier None Typical Low $12.88 Median $23.99 Typical High $26.92 | Facility | None | $12.88 | $23.99 | $26.92 |
Select Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $17.38 | Professional | None | $11.22 | $11.22 | $17.38 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $9.33 | Professional | None | $5.01 | $6.17 | $9.33 |
Where Colorado sits
The same service costs 2.7 times more in Montana than in Utah. 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
$8.91
MT $16.22UT $6.03
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.