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 $229.09 Median $2,884.03 Typical High $4,786.30 | Facility | None | $229.09 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $380.19 | Professional | None | $181.97 | $263.03 | $380.19 |
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 $229.09 Median $309.03 Typical High $436.52 | Professional | None | $229.09 | $309.03 | $436.52 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $281.84 | Professional | None | $194.98 | $229.09 | $281.84 |
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 $208.93 Median $323.59 Typical High $416.87 | Professional | None | $208.93 | $323.59 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $190.55 Median $323.59 Typical High $524.81 | Professional | None | $190.55 | $323.59 | $524.81 |
United Setting Facility Modifier None Typical Low $302.00 Median $3,630.78 Typical High $4,677.35 | Facility | None | $302.00 | $3,630.78 | $4,677.35 |
United Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $446.68 | Professional | None | $165.96 | $251.19 | $446.68 |
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 $112.20 Median $117.49 Typical High $190.55 | Professional | 52 · Reduced service | $112.20 | $117.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $47.86 Typical High $75.86 | Professional | 53 · Discontinued | $44.67 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $177.83 Typical High $281.84 | Professional | 54 · Surgery only | $169.82 | $177.83 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $35.48 Typical High $56.23 | Professional | 55 · Aftercare only | $33.88 | $35.48 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $23.44 Typical High $38.02 | Professional | 56 · Pre-op care only | $22.39 | $23.44 | $38.02 |
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 3.1 times more in Alaska than in New York. 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· 50th of 51
$257
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.