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 $109.65 Median $109.65 Typical High $141.25 | Facility | None | $109.65 | $109.65 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $141.25 | Professional | None | $107.15 | $109.65 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $81.28 Typical High $83.18 | Facility | None | $79.43 | $81.28 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $125.89 | Professional | None | $95.50 | $120.23 | $125.89 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | None | $72.44 | $85.11 | $102.33 |
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 $97.72 Median $138.04 Typical High $162.18 | Professional | None | $97.72 | $138.04 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Select Health Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | None | $81.28 | $95.50 | $112.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $234.42 | Professional | None | $74.13 | $141.25 | $234.42 |
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 $69.18 Median $95.50 Typical High $147.91 | Professional | None | $69.18 | $95.50 | $147.91 |
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 $53.70 Median $54.95 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $21.38 | $21.88 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.60 Typical High $20.89 | Professional | 55 · Aftercare only | $16.22 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $14.13 |
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 3.8 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· 40th of 51
$97.72
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.