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 $416.87 Median $2,884.03 Typical High $4,786.30 | Facility | None | $416.87 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $758.58 Typical High $1,778.28 | Professional | None | $281.84 | $758.58 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $891.25 Typical High $1,479.11 | Professional | None | $371.54 | $891.25 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $831.76 | Professional | None | $575.44 | $676.08 | $831.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $891.25 Typical High $1,348.96 | Professional | None | $309.03 | $891.25 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Select Health Setting Professional Modifier None Typical Low $257.04 Median $588.84 Typical High $3,715.35 | Professional | None | $257.04 | $588.84 | $3,715.35 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $323.59 Median $1,071.52 Typical High $1,778.28 | Professional | None | $323.59 | $1,071.52 | $1,778.28 |
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 $257.04 Median $741.31 Typical High $1,778.28 | Professional | None | $257.04 | $741.31 | $1,778.28 |
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 $208.93 Median $380.19 Typical High $891.25 | Professional | 52 · Reduced service | $208.93 | $380.19 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $151.36 Typical High $354.81 | Professional | 53 · Discontinued | $83.18 | $151.36 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $562.34 Typical High $1,318.26 | Professional | 54 · Surgery only | $316.23 | $562.34 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $112.20 Typical High $263.03 | Professional | 55 · Aftercare only | $63.10 | $112.20 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $75.86 Typical High $177.83 | Professional | 56 · Pre-op care only | $41.69 | $75.86 | $177.83 |
Where Utah sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 39th of 51
$676
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.