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 $50.12 Median $50.12 Typical High $67.61 | Facility | None | $50.12 | $50.12 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $67.61 | Professional | None | $33.88 | $50.12 | $67.61 |
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 $35.48 Median $43.65 Typical High $57.54 | Professional | None | $35.48 | $43.65 | $57.54 |
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 $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 $22.91 Median $41.69 Typical High $50.12 | Professional | None | $22.91 | $41.69 | $50.12 |
Select Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Select Health Setting Professional Modifier None Typical Low $19.50 Median $22.39 Typical High $25.70 | Professional | None | $19.50 | $22.39 | $25.70 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $25.12 Median $46.77 Typical High $75.86 | Professional | None | $25.12 | $46.77 | $75.86 |
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 $17.78 Median $33.11 Typical High $57.54 | Professional | None | $17.78 | $33.11 | $57.54 |
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 $19.50 Median $25.12 Typical High $33.88 | Professional | 52 · Reduced service | $19.50 | $25.12 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.00 Typical High $13.49 | Professional | 53 · Discontinued | $7.94 | $10.00 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.41 Typical High $10.00 | Professional | 55 · Aftercare only | $5.89 | $7.41 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.01 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.98 | $5.01 | $6.76 |
Where Utah sits
The same service costs 3.8 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· 46th 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.