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 $245.47 Median $363.08 Typical High $4,570.88 | Facility | None | $245.47 | $363.08 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $363.08 | Professional | None | $245.47 | $288.40 | $363.08 |
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 $218.78 Median $302.00 Typical High $371.54 | Professional | None | $218.78 | $302.00 | $371.54 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $331.13 | Professional | None | $239.88 | $281.84 | $331.13 |
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 $239.88 Median $398.11 Typical High $489.78 | Professional | None | $239.88 | $398.11 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $295.12 | Professional | None | $199.53 | $251.19 | $295.12 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $234.42 Median $407.38 Typical High $707.95 | Professional | None | $234.42 | $407.38 | $707.95 |
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 $165.96 Median $245.47 Typical High $416.87 | Professional | None | $165.96 | $245.47 | $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 $123.03 Median $123.03 Typical High $181.97 | Professional | 52 · Reduced service | $123.03 | $123.03 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $275.42 | Professional | 54 · Surgery only | $186.21 | $186.21 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $54.95 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $36.31 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $36.31 |
Where Utah sits
The same service costs 3.8 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· 37th of 51
$282
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.