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 $181.97 Median $2,951.21 Typical High $4,570.88 | Facility | None | $181.97 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $389.05 | Professional | None | $109.65 | $208.93 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,862.09 | $1,905.46 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $338.84 | Professional | None | $128.82 | $251.19 | $338.84 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $741.31 | Professional | None | $158.49 | $263.03 | $741.31 |
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 $109.65 Median $245.47 Typical High $501.19 | Professional | None | $109.65 | $245.47 | $501.19 |
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 $81.28 Median $239.88 Typical High $912.01 | Professional | None | $81.28 | $239.88 | $912.01 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $11,481.54 | Facility | None | $251.19 | $1,202.26 | $11,481.54 |
United Setting Professional Modifier None Typical Low $87.10 Median $181.97 Typical High $398.11 | Professional | None | $87.10 | $181.97 | $398.11 |
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 $91.20 Median $104.71 Typical High $194.98 | Professional | 52 · Reduced service | $91.20 | $104.71 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $42.66 Typical High $77.62 | Professional | 53 · Discontinued | $36.31 | $42.66 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $158.49 Typical High $288.40 | Professional | 54 · Surgery only | $134.90 | $158.49 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $31.62 Typical High $57.54 | Professional | 55 · Aftercare only | $26.92 | $31.62 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $20.89 Typical High $38.90 | Professional | 56 · Pre-op care only | $18.20 | $20.89 | $38.90 |
Where Utah sits
The same service costs 4.1 times more in Alaska 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· 16th of 51
$324
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.