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 $45.71 Median $87.10 Typical High $4,570.88 | Facility | None | $45.71 | $87.10 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $69.18 Typical High $112.20 | Professional | None | $42.66 | $69.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $100.00 Typical High $100.00 | Facility | None | $95.50 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $154.88 | Professional | None | $53.70 | $97.72 | $154.88 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $104.71 | Professional | None | $72.44 | $83.18 | $104.71 |
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 $47.86 Median $102.33 Typical High $141.25 | Professional | None | $47.86 | $102.33 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $53.70 | Professional | None | $47.86 | $51.29 | $53.70 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $44.67 Median $131.83 Typical High $181.97 | Professional | None | $44.67 | $131.83 | $181.97 |
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 $43.65 Median $83.18 Typical High $151.36 | Professional | None | $43.65 | $83.18 | $151.36 |
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 $22.91 Median $34.67 Typical High $52.48 | Professional | 52 · Reduced service | $22.91 | $34.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $14.13 Typical High $20.89 | Professional | 53 · Discontinued | $9.12 | $14.13 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $52.48 Typical High $79.43 | Professional | 54 · Surgery only | $33.88 | $52.48 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.47 Typical High $15.85 | Professional | 55 · Aftercare only | $6.76 | $10.47 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.92 Typical High $10.47 | Professional | 56 · Pre-op care only | $4.57 | $6.92 | $10.47 |
Where Utah sits
The same service costs 3.5 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· 39th of 51
$87.10
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.