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 $69.18 Median $114.82 Typical High $4,570.88 | Facility | None | $69.18 | $114.82 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $97.72 Typical High $141.25 | Professional | None | $60.26 | $97.72 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $107.15 | Facility | None | $102.33 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $199.53 | Professional | None | $83.18 | $131.83 | $199.53 |
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 $323.59 Median $407.38 Typical High $588.84 | Facility | None | $323.59 | $407.38 | $588.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $64.57 Median $123.03 Typical High $169.82 | Professional | None | $64.57 | $123.03 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $75.86 | Professional | None | $66.07 | $70.79 | $75.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $63.10 Median $151.36 Typical High $218.78 | Professional | None | $63.10 | $151.36 | $218.78 |
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 $60.26 Median $109.65 Typical High $177.83 | Professional | None | $60.26 | $109.65 | $177.83 |
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 $31.62 Median $48.98 Typical High $63.10 | Professional | 52 · Reduced service | $31.62 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $19.50 Typical High $25.12 | Professional | 53 · Discontinued | $12.59 | $19.50 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $72.44 Typical High $95.50 | Professional | 54 · Surgery only | $46.77 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $14.79 Typical High $19.05 | Professional | 55 · Aftercare only | $9.55 | $14.79 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.77 Typical High $12.59 | Professional | 56 · Pre-op care only | $6.31 | $9.77 | $12.59 |
Where Utah sits
The same service costs 3.1 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· 35th of 51
$115
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.