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 $229.09 Median $380.19 Typical High $4,570.88 | Facility | None | $229.09 | $380.19 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $380.19 | Professional | None | $229.09 | $239.88 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $186.21 | Facility | None | $173.78 | $181.97 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $323.59 | Professional | None | $173.78 | $257.04 | $323.59 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $302.00 | Professional | None | $213.80 | $257.04 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $436.52 Median $549.54 Typical High $794.33 | Facility | None | $436.52 | $549.54 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $426.58 | Professional | None | $204.17 | $346.74 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Select Health Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $251.19 | Professional | None | $173.78 | $213.80 | $251.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $151.36 Median $331.13 Typical High $616.60 | Professional | None | $151.36 | $331.13 | $616.60 |
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 $141.25 Median $223.87 Typical High $371.54 | Professional | None | $141.25 | $223.87 | $371.54 |
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 $114.82 Median $117.49 Typical High $190.55 | Professional | 52 · Reduced service | $114.82 | $117.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $77.62 | Professional | 53 · Discontinued | $45.71 | $46.77 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $173.78 Typical High $288.40 | Professional | 54 · Surgery only | $169.82 | $173.78 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $34.67 Typical High $57.54 | Professional | 55 · Aftercare only | $33.88 | $34.67 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.44 Typical High $38.02 | Professional | 56 · Pre-op care only | $22.91 | $23.44 | $38.02 |
Where Utah sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$257
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.