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 $199.53 Median $3,162.28 Typical High $8,511.38 | Facility | None | $199.53 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $1,479.11 Typical High $2,238.72 | Professional | None | $165.96 | $1,479.11 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,548.13 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $1,737.80 Typical High $2,818.38 | Professional | None | $223.87 | $1,737.80 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,348.96 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,715.19 Median $14,125.38 Typical High $20,892.96 | Facility | None | $10,715.19 | $14,125.38 | $20,892.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $1,949.84 Typical High $2,691.53 | Professional | None | $199.53 | $1,949.84 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $190.55 Median $1,862.09 Typical High $3,388.44 | Professional | None | $190.55 | $1,862.09 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,630.78 Typical High $8,317.64 | Facility | None | $1,288.25 | $3,630.78 | $8,317.64 |
United Setting Professional Modifier None Typical Low $158.49 Median $1,513.56 Typical High $3,388.44 | Professional | None | $158.49 | $1,513.56 | $3,388.44 |
2 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 54 · Surgery only Typical Low $151.36 Median $288.40 Typical High $1,698.24 | Professional | 54 · Surgery only | $151.36 | $288.40 | $1,698.24 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,848.93 Median $21,379.62 Typical High $30,902.95 | Facility | 50 · Both sides | $15,848.93 | $21,379.62 | $30,902.95 |
Where Utah sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 43rd of 51
$1,479
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.