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 $134.90 Typical High $4,570.88 | Facility | None | $79.43 | $134.90 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $114.82 Typical High $162.18 | Professional | None | $64.57 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $151.36 Typical High $213.80 | Professional | None | $93.33 | $151.36 | $213.80 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | None | $95.50 | $114.82 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,202.26 | Facility | None | $630.96 | $831.76 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $75.86 Median $134.90 Typical High $186.21 | Professional | None | $75.86 | $134.90 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $85.11 | Professional | None | $75.86 | $81.28 | $85.11 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $70.79 Median $169.82 Typical High $239.88 | Professional | None | $70.79 | $169.82 | $239.88 |
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 $67.61 Median $123.03 Typical High $199.53 | Professional | None | $67.61 | $123.03 | $199.53 |
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 $36.31 Median $54.95 Typical High $69.18 | Professional | 52 · Reduced service | $36.31 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $21.88 Typical High $27.54 | Professional | 53 · Discontinued | $14.45 | $21.88 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $83.18 Typical High $102.33 | Professional | 54 · Surgery only | $53.70 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $16.60 Typical High $20.42 | Professional | 55 · Aftercare only | $10.72 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.96 Typical High $13.80 | Professional | 56 · Pre-op care only | $7.24 | $10.96 | $13.80 |
Where Utah sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 40th of 51
$126
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.