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 $35.48 Median $2,951.21 Typical High $4,570.88 | Facility | None | $35.48 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $60.26 Typical High $74.13 | Professional | None | $28.84 | $60.26 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $100.00 | Professional | None | $43.65 | $85.11 | $100.00 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $104.71 | Professional | None | $70.79 | $85.11 | $104.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $32.36 Median $63.10 Typical High $87.10 | Professional | None | $32.36 | $63.10 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $37.15 | Professional | None | $32.36 | $34.67 | $37.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $30.90 Median $81.28 Typical High $138.04 | Professional | None | $30.90 | $81.28 | $138.04 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $30.20 Median $58.88 Typical High $102.33 | Professional | None | $30.20 | $58.88 | $102.33 |
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 $15.49 Median $23.99 Typical High $37.15 | Professional | 52 · Reduced service | $15.49 | $23.99 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $9.55 Typical High $15.14 | Professional | 53 · Discontinued | $6.17 | $9.55 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.44 Median $35.48 Typical High $56.23 | Professional | 54 · Surgery only | $23.44 | $35.48 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $7.08 Typical High $11.22 | Professional | 55 · Aftercare only | $4.68 | $7.08 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $4.79 Typical High $7.41 | Professional | 56 · Pre-op care only | $3.09 | $4.79 | $7.41 |
Where Utah sits
The same service costs 3.3 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· 18th of 51
$74.13
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.