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 $83.18 Median $2,951.21 Typical High $4,570.88 | Facility | None | $83.18 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $112.20 | Professional | None | $66.07 | $83.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $67.61 | Facility | None | $63.10 | $66.07 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $107.15 | Professional | None | $81.28 | $100.00 | $107.15 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | None | $72.44 | $85.11 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $891.25 | Facility | None | $478.63 | $602.56 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $131.83 | Professional | None | $83.18 | $109.65 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $123.03 | Professional | None | $70.79 | $104.71 | $123.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $186.21 | Professional | None | $70.79 | $120.23 | $186.21 |
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 $58.88 Median $77.62 Typical High $120.23 | Professional | None | $58.88 | $77.62 | $120.23 |
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 $41.69 Median $41.69 Typical High $52.48 | Professional | 52 · Reduced service | $41.69 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | 54 · Surgery only | $63.10 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $15.85 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $10.47 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $10.47 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $707.95 Median $912.01 Typical High $1,318.26 | Facility | 50 · Both sides | $707.95 | $912.01 | $1,318.26 |
Where Utah sits
The same service costs 3.8 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· 35th of 51
$89.13
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.