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 $186.21 Median $3,162.28 Typical High $10,232.93 | Facility | None | $186.21 | $3,162.28 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $2,344.23 Typical High $3,090.30 | Professional | None | $186.21 | $2,344.23 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $5,011.87 Typical High $5,011.87 | Facility | None | $4,786.30 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $2,630.27 Typical High $4,365.16 | Professional | None | $229.09 | $2,630.27 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,659.59 | $2,041.74 | $2,511.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,332.54 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $3,801.89 | Professional | None | $213.80 | $295.12 | $3,801.89 |
Select Health Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $239.88 Median $3,311.31 Typical High $9,549.93 | Professional | None | $239.88 | $3,311.31 | $9,549.93 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $13,803.84 | Facility | None | $1,698.24 | $4,265.80 | $13,803.84 |
United Setting Professional Modifier None Typical Low $169.82 Median $2,344.23 Typical High $5,495.41 | Professional | None | $169.82 | $2,344.23 | $5,495.41 |
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 $93.33 Median $204.17 Typical High $1,548.82 | Professional | 52 · Reduced service | $93.33 | $204.17 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $81.28 Typical High $630.96 | Professional | 53 · Discontinued | $38.02 | $81.28 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $309.03 Typical High $2,344.23 | Professional | 54 · Surgery only | $141.25 | $309.03 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $61.66 Typical High $467.74 | Professional | 55 · Aftercare only | $28.18 | $61.66 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $40.74 Typical High $309.03 | Professional | 56 · Pre-op care only | $18.62 | $40.74 | $309.03 |
Where Utah sits
The same service costs 33.1 times more in Alaska than in Kentucky. 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· 34th of 51
$2,239
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.