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 $54.95 Median $54.95 Typical High $72.44 | Facility | None | $54.95 | $54.95 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $54.95 Typical High $72.44 | Professional | None | $33.88 | $54.95 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $22.39 Typical High $22.39 | Facility | None | $20.89 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $61.66 | Professional | None | $35.48 | $48.98 | $61.66 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None | $23.44 | $28.18 | $34.67 |
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 $21.88 Median $38.90 Typical High $45.71 | Professional | None | $21.88 | $38.90 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Select Health Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $25.70 | Professional | None | $19.05 | $22.39 | $25.70 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $61.66 | Professional | None | $21.38 | $35.48 | $61.66 |
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 $17.38 Median $32.36 Typical High $56.23 | Professional | None | $17.38 | $32.36 | $56.23 |
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 $18.62 Median $27.54 Typical High $36.31 | Professional | 52 · Reduced service | $18.62 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $10.96 Typical High $14.45 | Professional | 53 · Discontinued | $7.41 | $10.96 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $8.32 Typical High $10.72 | Professional | 55 · Aftercare only | $5.62 | $8.32 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $5.50 Typical High $7.24 | Professional | 56 · Pre-op care only | $3.72 | $5.50 | $7.24 |
Where Utah sits
The same service costs 3.5 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· 43rd of 51
$31.62
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.