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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $81.28 | Professional | None | $77.62 | $79.43 | $81.28 |
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 $794.33 Median $3,311.31 Typical High $4,265.80 | Facility | None | $794.33 | $3,311.31 | $4,265.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $100.00 | Professional | None | $85.11 | $89.13 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $95.50 | Facility | None | $81.28 | $87.10 | $95.50 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $97.72 | Professional | None | $72.44 | $85.11 | $97.72 |
United Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $134.90 | Professional | None | $81.28 | $91.20 | $134.90 |
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 $38.90 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $38.90 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $15.49 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.02 Typical High $12.30 | Professional | 55 · Aftercare only | $11.75 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.76 | $7.94 | $8.13 |
Where Utah sits
The same service costs 3.2 times more in Alaska 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.
Utah· 26th of 51
$89.13
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.