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 $239.88 Median $2,884.03 Typical High $4,786.30 | Facility | None | $239.88 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $446.68 Typical High $933.25 | Professional | None | $151.36 | $446.68 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $630.96 Typical High $912.01 | Professional | None | $208.93 | $630.96 | $912.01 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $616.60 | Professional | None | $426.58 | $501.19 | $616.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $630.96 Typical High $954.99 | Professional | None | $169.82 | $630.96 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $323.59 Typical High $1,698.24 | Professional | None | $141.25 | $323.59 | $1,698.24 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $177.83 Median $758.58 Typical High $1,202.26 | Professional | None | $177.83 | $758.58 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,466.84 Typical High $5,128.61 | Facility | None | $1,698.24 | $4,466.84 | $5,128.61 |
United Setting Professional Modifier None Typical Low $141.25 Median $501.19 Typical High $1,202.26 | Professional | None | $141.25 | $501.19 | $1,202.26 |
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 $120.23 Median $208.93 Typical High $467.74 | Professional | 52 · Reduced service | $120.23 | $208.93 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $83.18 Typical High $186.21 | Professional | 53 · Discontinued | $47.86 | $83.18 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $309.03 Typical High $707.95 | Professional | 54 · Surgery only | $177.83 | $309.03 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $61.66 Typical High $141.25 | Professional | 55 · Aftercare only | $35.48 | $61.66 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $41.69 Typical High $93.33 | Professional | 56 · Pre-op care only | $23.99 | $41.69 | $93.33 |
Where Utah sits
The same service costs 3.8 times more in Wisconsin 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· 33rd of 51
$501
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.