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 $537.03 Median $3,162.28 Typical High $4,570.88 | Facility | None | $537.03 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $537.03 | Professional | None | $446.68 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $537.03 | Professional | None | $446.68 | $457.09 | $537.03 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,047.13 Typical High $1,174.90 | Professional | None | $30.20 | $1,047.13 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $724.44 | Professional | None | $616.60 | $660.69 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,309.57 | Professional | None | $5,011.87 | $5,011.87 | $6,309.57 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $5,754.40 | Professional | None | $501.19 | $645.65 | $5,754.40 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $39,810.72 | Facility | None | $199.53 | $1,023.29 | $39,810.72 |
United Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $676.08 | Professional | None | $331.13 | $398.11 | $676.08 |
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 $223.87 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $223.87 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $331.13 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $44.67 | $53.70 | $53.70 |
Where Utah sits
The same service costs 4.6 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· 22nd of 51
$537
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.