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 $2,884.03 Typical High $4,786.30 | Facility | None | $186.21 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $338.84 | Professional | None | $186.21 | $288.40 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,023.29 | Facility | None | $954.99 | $1,000.00 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $512.86 | Professional | None | $204.17 | $346.74 | $512.86 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $316.23 | Professional | None | $218.78 | $257.04 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $5,128.61 | Facility | None | $2,754.23 | $3,548.13 | $5,128.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $354.81 Typical High $489.78 | Professional | None | $199.53 | $354.81 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Select Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $194.98 Median $371.54 Typical High $676.08 | Professional | None | $194.98 | $371.54 | $676.08 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $524.81 | Professional | None | $158.49 | $281.84 | $524.81 |
6 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 $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $93.33 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $57.54 Typical High $67.61 | Professional | 53 · Discontinued | $38.02 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $213.80 Typical High $251.19 | Professional | 54 · Surgery only | $141.25 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $42.66 Typical High $51.29 | Professional | 55 · Aftercare only | $28.18 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $28.84 Typical High $33.88 | Professional | 56 · Pre-op care only | $18.62 | $28.84 | $33.88 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $4,073.80 Median $5,370.32 Typical High $7,762.47 | Facility | 50 · Both sides | $4,073.80 | $5,370.32 | $7,762.47 |
Where Utah sits
The same service costs 3.9 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· 48th of 51
$288
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.