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 $64.57 Median $64.57 Typical High $87.10 | Facility | None | $64.57 | $64.57 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $87.10 | Professional | None | $60.26 | $64.57 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $46.77 Typical High $47.86 | Facility | None | $44.67 | $46.77 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $79.43 | Professional | None | $56.23 | $70.79 | $79.43 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $67.61 | Professional | None | $48.98 | $56.23 | $67.61 |
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 $56.23 Median $83.18 Typical High $97.72 | Professional | None | $56.23 | $83.18 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Select Health Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $64.57 | Professional | None | $47.86 | $54.95 | $64.57 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $42.66 Median $79.43 Typical High $131.83 | Professional | None | $42.66 | $79.43 | $131.83 |
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 $39.81 Median $56.23 Typical High $89.13 | Professional | None | $39.81 | $56.23 | $89.13 |
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 $31.62 Median $31.62 Typical High $43.65 | Professional | 52 · Reduced service | $31.62 | $31.62 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $17.78 | Professional | 53 · Discontinued | $12.88 | $12.88 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $13.18 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $8.71 |
Where Utah sits
The same service costs 3.5 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· 37th of 51
$63.10
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.