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 $151.36 Median $2,884.03 Typical High $4,786.30 | Facility | None | $151.36 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $234.42 | Professional | None | $151.36 | $204.17 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,041.74 | Facility | None | $1,949.84 | $1,995.26 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $354.81 | Professional | None | $162.18 | $245.47 | $354.81 |
Molina Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $208.93 | Professional | None | $144.54 | $169.82 | $208.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $7,585.78 Typical High $10,964.78 | Facility | None | $5,754.40 | $7,585.78 | $10,964.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $346.74 | Professional | None | $162.18 | $269.15 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $467.74 | Professional | None | $158.49 | $263.03 | $467.74 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $363.08 | Professional | None | $128.82 | $208.93 | $363.08 |
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 $75.86 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $39.81 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $147.91 Typical High $177.83 | Professional | 54 · Surgery only | $114.82 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $29.51 Typical High $35.48 | Professional | 55 · Aftercare only | $22.91 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $19.95 Typical High $23.44 | Professional | 56 · Pre-op care only | $15.14 | $19.95 | $23.44 |
Where Utah sits
The same service costs 3.7 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· 49th of 51
$200
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.