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 $85.11 Median $85.11 Typical High $120.23 | Facility | None | $85.11 | $85.11 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $123.03 | Professional | None | $67.61 | $93.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $81.28 Typical High $81.28 | Facility | None | $77.62 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $104.71 | Professional | None | $72.44 | $97.72 | $104.71 |
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 $81.28 Median $114.82 Typical High $134.90 | Professional | None | $81.28 | $114.82 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $97.72 | Professional | None | $67.61 | $83.18 | $97.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $194.98 | Professional | None | $70.79 | $120.23 | $194.98 |
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 $56.23 Median $77.62 Typical High $123.03 | Professional | None | $56.23 | $77.62 | $123.03 |
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 $42.66 Median $42.66 Typical High $60.26 | Professional | 52 · Reduced service | $42.66 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $23.99 | Professional | 53 · Discontinued | $17.38 | $17.38 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $17.78 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $12.02 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $12.02 |
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 3.7 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
$89.13
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.