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 $102.33 Median $2,951.21 Typical High $4,570.88 | Facility | None | $102.33 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $169.82 | Professional | None | $91.20 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $95.50 Typical High $97.72 | Facility | None | $89.13 | $95.50 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $199.53 | Professional | None | $123.03 | $173.78 | $199.53 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $138.04 | Professional | None | $95.50 | $112.20 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,089.30 | Facility | None | $1,122.02 | $1,445.44 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $177.83 | Professional | None | $97.72 | $151.36 | $177.83 |
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 $97.72 Median $104.71 Typical High $117.49 | Professional | None | $97.72 | $104.71 | $117.49 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $239.88 | Professional | None | $97.72 | $169.82 | $239.88 |
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 $89.13 Median $134.90 Typical High $204.17 | Professional | None | $89.13 | $134.90 | $204.17 |
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 $46.77 Median $63.10 Typical High $75.86 | Professional | 52 · Reduced service | $46.77 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $25.12 Typical High $30.20 | Professional | 53 · Discontinued | $18.62 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $93.33 Typical High $112.20 | Professional | 54 · Surgery only | $69.18 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.62 Typical High $22.91 | Professional | 55 · Aftercare only | $14.13 | $18.62 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $12.59 Typical High $15.14 | Professional | 56 · Pre-op care only | $9.33 | $12.59 | $15.14 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$132
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.