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 $302.00 Median $4,265.80 Typical High $8,709.64 | Facility | None | $302.00 | $4,265.80 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $2,818.38 Typical High $4,265.80 | Professional | None | $269.15 | $2,818.38 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $2,951.21 | Facility | None | $2,818.38 | $2,884.03 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $3,235.94 Typical High $5,370.32 | Professional | None | $338.84 | $3,235.94 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,511.89 | $3,090.30 |
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 $316.23 Median $489.78 Typical High $4,897.79 | Professional | None | $316.23 | $489.78 | $4,897.79 |
Select Health Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Select Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $363.08 Median $3,890.45 Typical High $12,589.25 | Professional | None | $363.08 | $3,890.45 | $12,589.25 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $251.19 Median $2,884.03 Typical High $6,456.54 | Professional | None | $251.19 | $2,884.03 | $6,456.54 |
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 $151.36 Median $309.03 Typical High $2,137.96 | Professional | 52 · Reduced service | $151.36 | $309.03 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $125.89 Typical High $851.14 | Professional | 53 · Discontinued | $60.26 | $125.89 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $467.74 Typical High $3,162.28 | Professional | 54 · Surgery only | $223.87 | $467.74 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $93.33 Typical High $645.65 | Professional | 55 · Aftercare only | $44.67 | $93.33 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $61.66 Typical High $426.58 | Professional | 56 · Pre-op care only | $30.20 | $61.66 | $426.58 |
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 10.2 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· 34th of 51
$2,754
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.