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 $47.86 Median $47.86 Typical High $72.44 | Facility | None | $47.86 | $47.86 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $72.44 | Professional | None | $47.86 | $47.86 | $72.44 |
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 $42.66 Median $54.95 Typical High $64.57 | Professional | None | $42.66 | $54.95 | $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 $41.69 Median $52.48 Typical High $72.44 | Facility | None | $41.69 | $52.48 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $38.90 Median $70.79 Typical High $83.18 | Professional | None | $38.90 | $70.79 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $56.23 | Professional | None | $33.11 | $47.86 | $56.23 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $107.15 | Professional | None | $41.69 | $70.79 | $107.15 |
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 $29.51 Median $47.86 Typical High $75.86 | Professional | None | $29.51 | $47.86 | $75.86 |
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 $23.99 Median $23.99 Typical High $36.31 | Professional | 52 · Reduced service | $23.99 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $14.45 | Professional | 53 · Discontinued | $9.55 | $9.55 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $10.96 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $7.24 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $7.24 |
Where Utah sits
The same service costs 3.6 times more in Alaska than in Virginia. 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· 25th of 51
$54.95
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.