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 $48.98 Median $48.98 Typical High $70.79 | Facility | None | $48.98 | $48.98 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $79.43 | Professional | None | $44.67 | $64.57 | $79.43 |
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 $58.88 Median $81.28 Typical High $102.33 | Professional | None | $58.88 | $81.28 | $102.33 |
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 $81.28 Typical High $100.00 | Professional | None | $47.86 | $81.28 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | None | $48.98 | $54.95 | $61.66 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $134.90 | Professional | None | $47.86 | $87.10 | $134.90 |
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 $67.61 Typical High $104.71 | Professional | None | $43.65 | $67.61 | $104.71 |
4 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 $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $22.91 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $12.88 Typical High $14.13 | Professional | 53 · Discontinued | $9.12 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $9.77 Typical High $10.47 | Professional | 55 · Aftercare only | $6.92 | $9.77 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.46 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.57 | $6.46 | $7.08 |
Where Utah sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 28th of 51
$77.62
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.