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 $66.07 Median $2,951.21 Typical High $4,570.88 | Facility | None | $66.07 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $128.82 Typical High $186.21 | Professional | None | $53.70 | $128.82 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $141.25 | Facility | None | $131.83 | $138.04 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $186.21 Typical High $208.93 | Professional | None | $81.28 | $186.21 | $208.93 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $138.04 | Professional | None | $93.33 | $114.82 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,819.70 | Facility | None | $977.24 | $1,258.93 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $131.83 Typical High $190.55 | Professional | None | $60.26 | $131.83 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Select Health Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $67.61 | Professional | None | $60.26 | $64.57 | $67.61 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $57.54 Median $173.78 Typical High $295.12 | Professional | None | $57.54 | $173.78 | $295.12 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $56.23 Median $123.03 Typical High $213.80 | Professional | None | $56.23 | $123.03 | $213.80 |
5 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 $28.18 Median $43.65 Typical High $77.62 | Professional | 52 · Reduced service | $28.18 | $43.65 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $17.38 Typical High $30.90 | Professional | 53 · Discontinued | $11.48 | $17.38 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $66.07 Typical High $117.49 | Professional | 54 · Surgery only | $42.66 | $66.07 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $13.18 Typical High $23.44 | Professional | 55 · Aftercare only | $8.51 | $13.18 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.71 Typical High $15.49 | Professional | 56 · Pre-op care only | $5.62 | $8.71 | $15.49 |
Where Utah sits
The same service costs 2.6 times more in Alaska than in Montana. 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· 44th of 51
$129
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.