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 $234.42 Median $2,951.21 Typical High $4,570.88 | Facility | None | $234.42 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $501.19 | Professional | None | $223.87 | $407.38 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $436.52 Typical High $602.56 | Professional | None | $218.78 | $436.52 | $602.56 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $489.78 | Professional | None | $331.13 | $398.11 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $5,623.41 | Facility | None | $2,951.21 | $3,890.45 | $5,623.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $436.52 Typical High $602.56 | Professional | None | $199.53 | $436.52 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $1,023.29 | Professional | None | $169.82 | $338.84 | $1,023.29 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $194.98 Median $501.19 Typical High $954.99 | Professional | None | $194.98 | $501.19 | $954.99 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $158.49 Median $338.84 Typical High $602.56 | Professional | None | $158.49 | $338.84 | $602.56 |
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 $112.20 Median $194.98 Typical High $251.19 | Professional | 52 · Reduced service | $112.20 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $77.62 Typical High $100.00 | Professional | 53 · Discontinued | $44.67 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $295.12 Typical High $371.54 | Professional | 54 · Surgery only | $165.96 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $58.88 Typical High $74.13 | Professional | 55 · Aftercare only | $33.11 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $38.90 Typical High $50.12 | Professional | 56 · Pre-op care only | $22.39 | $38.90 | $50.12 |
Where Utah sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 22nd of 51
$398
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.