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 $234.42 Median $234.42 Typical High $354.81 | Facility | None | $234.42 | $234.42 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $436.52 | Professional | None | $234.42 | $234.42 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | 52 · Reduced service | $117.49 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | 53 · Discontinued | $46.77 | $46.77 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $66.07 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $43.65 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Denver HMP Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $338.84 | Facility | None | $234.42 | $234.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Where Colorado sits
The same service costs 43.7 times more in North Carolina than in Vermont. 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· 41st of 51
$234
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.