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 $54.95 Median $2,951.21 Typical High $4,570.88 | Facility | None | $54.95 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $74.13 | Professional | None | $41.69 | $54.95 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $39.81 | Facility | None | $36.31 | $38.90 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $64.57 | Professional | None | $48.98 | $60.26 | $64.57 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $67.61 | Professional | None | $48.98 | $56.23 | $67.61 |
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 $44.67 Median $67.61 Typical High $79.43 | Professional | None | $44.67 | $67.61 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Select Health Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $323.59 | Professional | None | $38.02 | $56.23 | $323.59 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $42.66 Median $72.44 Typical High $123.03 | Professional | None | $42.66 | $72.44 | $123.03 |
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 $33.11 Median $45.71 Typical High $74.13 | Professional | None | $33.11 | $45.71 | $74.13 |
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 $26.92 Median $27.54 Typical High $37.15 | Professional | 52 · Reduced service | $26.92 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $14.79 | Professional | 53 · Discontinued | $10.72 | $10.96 | $14.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $41.69 Typical High $56.23 | Professional | 54 · Surgery only | $40.74 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.32 Typical High $11.22 | Professional | 55 · Aftercare only | $8.13 | $8.32 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.50 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.37 | $5.50 | $7.41 |
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 4.1 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· 32nd of 51
$56.23
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.