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 $3,162.28 Typical High $6,025.60 | Facility | None | $302.00 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $537.03 | Professional | None | $288.40 | $302.00 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,630.78 | Facility | None | $3,467.37 | $3,548.13 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $831.76 | Professional | None | $331.13 | $354.81 | $831.76 |
Molina Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $371.54 | Professional | None | $269.15 | $309.03 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,332.54 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $724.44 | Professional | None | $549.54 | $588.84 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $204.17 Median $630.96 Typical High $912.01 | Professional | None | $204.17 | $630.96 | $912.01 |
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 $263.03 Median $457.09 Typical High $933.25 | Professional | None | $263.03 | $457.09 | $933.25 |
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 $151.36 Median $151.36 Typical High $234.42 | Professional | 52 · Reduced service | $151.36 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $93.33 | Professional | 53 · Discontinued | $60.26 | $60.26 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $354.81 | Professional | 54 · Surgery only | $229.09 | $229.09 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $70.79 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $46.77 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $46.77 |
Where Utah sits
The same service costs 5.2 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· 50th of 51
$363
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.