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 $69.18 Median $100.00 Typical High $4,570.88 | Facility | None | $69.18 | $100.00 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $100.00 | Professional | None | $69.18 | $70.79 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $72.44 Typical High $74.13 | Facility | None | $69.18 | $72.44 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $91.20 | Professional | None | $58.88 | $81.28 | $91.20 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $100.00 | Professional | None | $72.44 | $85.11 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $323.59 Typical High $467.74 | Facility | None | $257.04 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $117.49 | Professional | None | $63.10 | $100.00 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $75.86 | Professional | None | $52.48 | $64.57 | $75.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $177.83 | Professional | None | $60.26 | $102.33 | $177.83 |
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 $45.71 Median $69.18 Typical High $107.15 | Professional | None | $45.71 | $69.18 | $107.15 |
6 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 $34.67 Median $34.67 Typical High $50.12 | Professional | 52 · Reduced service | $34.67 | $34.67 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $19.95 | Professional | 53 · Discontinued | $13.80 | $13.80 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | 54 · Surgery only | $51.29 | $51.29 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $15.14 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $10.00 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $389.05 Median $489.78 Typical High $707.95 | Facility | 50 · Both sides | $389.05 | $489.78 | $707.95 |
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· 27th of 51
$81.28
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.