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 $218.78 Median $2,951.21 Typical High $4,570.88 | Facility | None | $218.78 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $323.59 | Professional | None | $218.78 | $229.09 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $186.21 | Facility | None | $173.78 | $181.97 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $295.12 | Professional | None | $186.21 | $257.04 | $295.12 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $269.15 | Professional | None | $190.55 | $229.09 | $269.15 |
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 $204.17 Median $323.59 Typical High $380.19 | Professional | None | $204.17 | $323.59 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $251.19 | Professional | None | $169.82 | $213.80 | $251.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $199.53 Median $354.81 Typical High $588.84 | Professional | None | $199.53 | $354.81 | $588.84 |
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 $144.54 Median $218.78 Typical High $346.74 | Professional | None | $144.54 | $218.78 | $346.74 |
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 $109.65 Median $109.65 Typical High $162.18 | Professional | 52 · Reduced service | $109.65 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | 53 · Discontinued | $44.67 | $44.67 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | 54 · Surgery only | $165.96 | $165.96 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $32.36 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $32.36 |
Where Utah sits
The same service costs 3.9 times more in Alaska than in Maryland. 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· 33rd of 51
$234
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.