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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $21.88 | Professional | None | $12.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $6.46 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $2.57 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $1.95 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.29 | $2.19 | $2.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $54.95 Typical High $56.23 | Facility | None | $50.12 | $54.95 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $18.20 Typical High $18.62 | Professional | None | $8.32 | $18.20 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Denver HMP Setting Facility Modifier None Typical Low $16.60 Median $21.88 Typical High $30.90 | Facility | None | $16.60 | $21.88 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $42.66 | Professional | None | $26.30 | $26.30 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $47.86 Typical High $54.95 | Facility | None | $26.30 | $47.86 | $54.95 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | None | $22.91 | $22.91 | $35.48 |
United Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $13.80 | Professional | None | $8.71 | $9.55 | $13.80 |
Where Colorado sits
The same service costs 4.2 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
$14.45
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.