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 $158.49 Median $2,884.03 Typical High $4,786.30 | Facility | None | $158.49 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $288.40 | Professional | None | $158.49 | $263.03 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $776.25 Typical High $776.25 | Facility | None | $741.31 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $398.11 | Professional | None | $138.04 | $239.88 | $398.11 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $316.23 Typical High $575.44 | Professional | None | $194.98 | $316.23 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $4,677.35 | Facility | None | $2,570.40 | $3,235.94 | $4,677.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $457.09 | Professional | None | $144.54 | $288.40 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Select Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $79.43 Median $302.00 Typical High $501.19 | Professional | None | $79.43 | $302.00 | $501.19 |
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 $112.20 Median $229.09 Typical High $489.78 | Professional | None | $112.20 | $229.09 | $489.78 |
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 $79.43 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $79.43 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $52.48 Typical High $57.54 | Professional | 53 · Discontinued | $31.62 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $194.98 Typical High $218.78 | Professional | 54 · Surgery only | $120.23 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $38.90 Typical High $43.65 | Professional | 55 · Aftercare only | $23.99 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $26.30 Typical High $28.84 | Professional | 56 · Pre-op care only | $15.85 | $26.30 | $28.84 |
Where Utah sits
The same service costs 4.3 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· 26th of 51
$288
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.