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 $316.23 Median $2,884.03 Typical High $4,786.30 | Facility | None | $316.23 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $812.83 Typical High $1,584.89 | Professional | None | $223.87 | $812.83 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $1,047.13 Typical High $1,584.89 | Professional | None | $302.00 | $1,047.13 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,000.00 | Professional | None | $676.08 | $812.83 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $6,456.54 Typical High $9,332.54 | Facility | None | $5,248.07 | $6,456.54 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $245.47 Median $549.54 Typical High $1,584.89 | Professional | None | $245.47 | $549.54 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $467.74 Typical High $3,235.94 | Professional | None | $204.17 | $467.74 | $3,235.94 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $257.04 Median $1,258.93 Typical High $2,041.74 | Professional | None | $257.04 | $1,258.93 | $2,041.74 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $8,128.31 Typical High $8,317.64 | Facility | None | $5,128.61 | $8,128.31 | $8,317.64 |
United Setting Professional Modifier None Typical Low $208.93 Median $977.24 Typical High $2,137.96 | Professional | None | $208.93 | $977.24 | $2,137.96 |
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 $158.49 Median $302.00 Typical High $794.33 | Professional | 52 · Reduced service | $158.49 | $302.00 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $120.23 Typical High $316.23 | Professional | 53 · Discontinued | $63.10 | $120.23 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $446.68 Typical High $1,202.26 | Professional | 54 · Surgery only | $239.88 | $446.68 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $89.13 Typical High $239.88 | Professional | 55 · Aftercare only | $47.86 | $89.13 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $60.26 Typical High $158.49 | Professional | 56 · Pre-op care only | $31.62 | $60.26 | $158.49 |
Where Utah sits
The same service costs 5.9 times more in Wisconsin than in Maryland. 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· 38th of 51
$832
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.