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 $83.18 Median $95.50 Typical High $117.49 | Facility | None | $83.18 | $95.50 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $117.49 | Professional | None | $54.95 | $83.18 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $79.43 | Facility | None | $74.13 | $77.62 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $104.71 | Professional | None | $72.44 | $89.13 | $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 $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 $52.48 Median $107.15 Typical High $125.89 | Professional | None | $52.48 | $107.15 | $125.89 |
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 $44.67 Median $53.70 Typical High $63.10 | Professional | None | $44.67 | $53.70 | $63.10 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $190.55 | Professional | None | $53.70 | $109.65 | $190.55 |
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 $40.74 Median $74.13 Typical High $117.49 | Professional | None | $40.74 | $74.13 | $117.49 |
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 $41.69 Median $41.69 Typical High $58.88 | Professional | 52 · Reduced service | $41.69 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $23.44 | Professional | 53 · Discontinued | $16.60 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $17.38 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $11.75 |
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 3.8 times more in Alaska than in Virginia. 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· 31st of 51
$83.18
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.