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 $107.15 Median $2,951.21 Typical High $4,570.88 | Facility | None | $107.15 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $229.09 | Professional | None | $75.86 | $151.36 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $275.42 | Professional | None | $97.72 | $199.53 | $275.42 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $89.13 Median $199.53 Typical High $309.03 | Professional | None | $89.13 | $199.53 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Select Health Setting Professional Modifier None Typical Low $70.79 Median $131.83 Typical High $309.03 | Professional | None | $70.79 | $131.83 | $309.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $70.79 Median $213.80 Typical High $380.19 | Professional | None | $70.79 | $213.80 | $380.19 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,466.84 Typical High $5,128.61 | Facility | None | $1,698.24 | $4,466.84 | $5,128.61 |
United Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $416.87 | Professional | None | $72.44 | $158.49 | $416.87 |
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 $53.70 Median $75.86 Typical High $114.82 | Professional | 52 · Reduced service | $53.70 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $30.90 Typical High $45.71 | Professional | 53 · Discontinued | $21.38 | $30.90 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | 54 · Surgery only | $79.43 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $22.91 Typical High $34.67 | Professional | 55 · Aftercare only | $16.22 | $22.91 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $15.14 Typical High $22.91 | Professional | 56 · Pre-op care only | $10.72 | $15.14 | $22.91 |
Where Utah sits
The same service costs 3.8 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· 37th of 51
$148
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.