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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | None | $70.79 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $131.83 | Professional | None | $85.11 | $102.33 | $131.83 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $39.81 | Professional | None | $25.12 | $28.84 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,318.26 | Facility | None | $724.44 | $891.25 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $120.23 | Professional | None | $89.13 | $104.71 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $50.12 Median $102.33 Typical High $125.89 | Professional | None | $50.12 | $102.33 | $125.89 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $151.36 | Professional | None | $66.07 | $85.11 | $151.36 |
4 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 $34.67 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $34.67 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.13 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $10.47 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.08 | $7.76 | $7.76 |
Where Utah sits
The same service costs 4.5 times more in Wisconsin 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· 38th of 51
$93.33
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.