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 $141.25 Median $2,951.21 Typical High $4,570.88 | Facility | None | $141.25 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $186.21 | Professional | None | $100.00 | $141.25 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $112.20 Typical High $114.82 | Facility | None | $107.15 | $112.20 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $162.18 | Professional | None | $123.03 | $154.88 | $162.18 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $134.90 | Professional | None | $95.50 | $114.82 | $134.90 |
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 $125.89 Median $173.78 Typical High $204.17 | Professional | None | $125.89 | $173.78 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $151.36 | Professional | None | $107.15 | $128.82 | $151.36 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $295.12 | Professional | None | $109.65 | $186.21 | $295.12 |
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 $91.20 Median $123.03 Typical High $194.98 | Professional | None | $91.20 | $123.03 | $194.98 |
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 $67.61 Median $70.79 Typical High $91.20 | Professional | 52 · Reduced service | $67.61 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $26.92 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.38 Typical High $27.54 | Professional | 55 · Aftercare only | $20.42 | $21.38 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $14.13 Typical High $18.62 | Professional | 56 · Pre-op care only | $13.49 | $14.13 | $18.62 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $660.69 Median $812.83 Typical High $1,202.26 | Facility | 50 · Both sides | $660.69 | $812.83 | $1,202.26 |
Where Utah sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 39th of 51
$129
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.