How much rates vary
Facilitymedian $20 · 10th to 90th $16 to $45Professionalmedian $14 · 10th to 90th $8 to $18
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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $17.78 | Professional | None | $12.02 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $6.03 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $2.40 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $1.82 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.20 | $1.78 | $1.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $45.71 | Facility | None | $41.69 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $15.14 Typical High $20.42 | Professional | None | $8.13 | $15.14 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Denver HMP Setting Facility Modifier None Typical Low $14.79 Median $18.20 Typical High $25.70 | Facility | None | $14.79 | $18.20 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $35.48 | Professional | None | $21.38 | $21.38 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $21.38 Median $39.81 Typical High $44.67 | Facility | None | $21.38 | $39.81 | $44.67 |
Select Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $28.84 | Professional | None | $19.05 | $19.05 | $28.84 |
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 $6.03 Median $10.00 Typical High $14.13 | Professional | None | $6.03 | $10.00 | $14.13 |
Where Colorado sits
The same service costs 3.2 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· 31st of 51
$14.13
MT $26.92NY $8.32
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.