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 $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | None | $11.75 | $13.18 | $13.18 |
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 $13.80 Median $17.38 Typical High $21.88 | Professional | None | $13.80 | $17.38 | $21.88 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $60.26 | Professional | None | $22.39 | $24.55 | $60.26 |
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 $14.45 Median $16.98 Typical High $20.42 | Professional | None | $14.45 | $16.98 | $20.42 |
Select Health Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Select Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $8.32 Median $17.38 Typical High $97.72 | Professional | None | $8.32 | $17.38 | $97.72 |
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 $10.96 Median $14.45 Typical High $25.12 | Professional | None | $10.96 | $14.45 | $25.12 |
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 $5.89 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $5.89 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.34 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $1.95 Typical High $1.95 | Professional | 55 · Aftercare only | $1.78 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.32 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.17 | $1.32 | $1.32 |
Where Utah sits
The same service costs 12.3 times more in Florida 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· 35th of 51
$17.38
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.