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 $37.15 Median $2,951.21 Typical High $4,570.88 | Facility | None | $37.15 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $102.33 | Professional | None | $36.31 | $64.57 | $102.33 |
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 $43.65 Median $85.11 Typical High $112.20 | Professional | None | $43.65 | $85.11 | $112.20 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None | $46.77 | $56.23 | $69.18 |
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 $39.81 Median $75.86 Typical High $104.71 | Professional | None | $39.81 | $75.86 | $104.71 |
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 $39.81 Median $45.71 Typical High $51.29 | Professional | None | $39.81 | $45.71 | $51.29 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $33.88 Median $91.20 Typical High $134.90 | Professional | None | $33.88 | $91.20 | $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 $35.48 Median $66.07 Typical High $117.49 | Professional | None | $35.48 | $66.07 | $117.49 |
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 $18.62 Median $28.84 Typical High $39.81 | Professional | 52 · Reduced service | $18.62 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $11.48 Typical High $15.85 | Professional | 53 · Discontinued | $7.59 | $11.48 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $42.66 Typical High $60.26 | Professional | 54 · Surgery only | $28.18 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $8.71 Typical High $12.02 | Professional | 55 · Aftercare only | $5.62 | $8.71 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $5.75 Typical High $7.94 | Professional | 56 · Pre-op care only | $3.72 | $5.75 | $7.94 |
Where Utah sits
The same service costs 3.7 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· 48th of 51
$63.10
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.