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 $74.13 Median $2,951.21 Typical High $4,570.88 | Facility | None | $74.13 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $147.91 | Professional | None | $74.13 | $134.90 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $891.25 | Facility | None | $851.14 | $870.96 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $165.96 Typical High $257.04 | Professional | None | $87.10 | $165.96 | $257.04 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $141.25 | Professional | None | $95.50 | $114.82 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,570.40 | $3,311.31 | $4,897.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $239.88 | Professional | None | $85.11 | $151.36 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Select Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $288.40 | Professional | None | $89.13 | $151.36 | $288.40 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $257.04 | Professional | None | $69.18 | $134.90 | $257.04 |
6 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 $37.15 Median $52.48 Typical High $74.13 | Professional | 52 · Reduced service | $37.15 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $20.89 Typical High $29.51 | Professional | 53 · Discontinued | $14.79 | $20.89 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $77.62 Typical High $112.20 | Professional | 54 · Surgery only | $54.95 | $77.62 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $15.49 Typical High $22.39 | Professional | 55 · Aftercare only | $10.96 | $15.49 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.47 Typical High $14.79 | Professional | 56 · Pre-op care only | $7.41 | $10.47 | $14.79 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $5,011.87 Typical High $7,244.36 | Facility | 50 · Both sides | $3,801.89 | $5,011.87 | $7,244.36 |
Where Utah sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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
$129
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.