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 $95.50 Median $95.50 Typical High $128.82 | Facility | None | $95.50 | $95.50 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $128.82 | Professional | None | $69.18 | $95.50 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $89.13 Typical High $89.13 | Facility | None | $85.11 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $114.82 | Professional | None | $81.28 | $107.15 | $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 $87.10 Median $125.89 Typical High $147.91 | Professional | None | $87.10 | $125.89 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $107.15 | Professional | None | $72.44 | $91.20 | $107.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $77.62 Median $134.90 Typical High $223.87 | Professional | None | $77.62 | $134.90 | $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 $63.10 Median $87.10 Typical High $138.04 | Professional | None | $63.10 | $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 $47.86 Median $47.86 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | 53 · Discontinued | $19.05 | $19.05 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $19.05 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $12.88 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $12.88 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $660.69 Median $812.83 Typical High $1,202.26 | Facility | 50 · Both sides | $660.69 | $812.83 | $1,202.26 |
Where Utah sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 36th 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.