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 $60.26 Median $69.18 Typical High $93.33 | Facility | None | $60.26 | $69.18 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $95.50 | Professional | None | $45.71 | $69.18 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $81.28 | Professional | None | $51.29 | $66.07 | $81.28 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $67.61 | Professional | None | $46.77 | $56.23 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $389.05 | Facility | None | $204.17 | $263.03 | $389.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $102.33 | Professional | None | $51.29 | $87.10 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $67.61 | Professional | None | $42.66 | $57.54 | $67.61 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $154.88 | Professional | None | $52.48 | $93.33 | $154.88 |
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 $36.31 Median $57.54 Typical High $91.20 | Professional | None | $36.31 | $57.54 | $91.20 |
4 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 $30.20 Median $30.20 Typical High $46.77 | Professional | 52 · Reduced service | $30.20 | $30.20 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $18.62 | Professional | 53 · Discontinued | $12.02 | $12.02 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $13.80 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $9.33 |
Where Utah sits
The same service costs 4.0 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· 45th of 51
$60.26
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.