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 $151.36 Median $151.36 Typical High $190.55 | Facility | None | $151.36 | $151.36 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $190.55 | Professional | None | $109.65 | $151.36 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Facility | None | $109.65 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $173.78 | Professional | None | $128.82 | $158.49 | $173.78 |
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 $134.90 Median $181.97 Typical High $213.80 | Professional | None | $134.90 | $181.97 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $158.49 | Professional | None | $112.20 | $138.04 | $158.49 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $302.00 | Professional | None | $117.49 | $190.55 | $302.00 |
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 $97.72 Median $128.82 Typical High $204.17 | Professional | None | $97.72 | $128.82 | $204.17 |
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 $70.79 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $70.79 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $38.02 | Professional | 53 · Discontinued | $28.18 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | 55 · Aftercare only | $21.38 | $22.39 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $15.14 Typical High $19.05 | Professional | 56 · Pre-op care only | $14.13 | $15.14 | $19.05 |
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 4.0 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· 38th of 51
$132
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.