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 $93.33 Median $125.89 Typical High $4,570.88 | Facility | None | $93.33 | $125.89 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | None | $93.33 | $93.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $95.50 | Facility | None | $89.13 | $93.33 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $114.82 | Professional | None | $75.86 | $102.33 | $114.82 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | None | $72.44 | $85.11 | $102.33 |
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 $89.13 Median $131.83 Typical High $154.88 | Professional | None | $89.13 | $131.83 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $109.65 | Professional | None | $74.13 | $93.33 | $109.65 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $67.61 Median $128.82 Typical High $223.87 | Professional | None | $67.61 | $128.82 | $223.87 |
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 $60.26 Median $87.10 Typical High $138.04 | Professional | None | $60.26 | $87.10 | $138.04 |
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 $46.77 Median $46.77 Typical High $63.10 | Professional | 52 · Reduced service | $46.77 | $46.77 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $18.62 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $69.18 Typical High $95.50 | Professional | 54 · Surgery only | $69.18 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $19.05 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $12.59 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $12.59 |
Where Utah sits
The same service costs 3.8 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· 35th of 51
$95.50
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.