How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $363.08 Median $3,388.44 Typical High $6,025.60 | Facility | None | $363.08 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $389.05 | Professional | None | $346.74 | $363.08 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $60.26 | Professional | None | $30.20 | $44.67 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $5,623.41 | Facility | None | $2,951.21 | $3,890.45 | $5,623.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $416.87 | Professional | None | $354.81 | $380.19 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Select Health Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $5,011.87 | Professional | None | $102.33 | $120.23 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $575.44 | Professional | None | $457.09 | $489.78 | $575.44 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $707.95 | Professional | None | $354.81 | $398.11 | $707.95 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $173.78 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $75.86 | Professional | 53 · Discontinued | $69.18 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $52.48 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $38.02 | Professional | 56 · Pre-op care only | $34.67 | $36.31 | $38.02 |
Where Utah sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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.
Utah· 33rd of 51
$389
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.