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 $575.44 Median $3,388.44 Typical High $6,025.60 | Facility | None | $575.44 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $575.44 | Professional | None | $371.54 | $575.44 | $575.44 |
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 $407.38 Median $537.03 Typical High $602.56 | Professional | None | $407.38 | $537.03 | $602.56 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $302.00 | Professional | None | $218.78 | $251.19 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $5,623.41 | Facility | None | $3,162.28 | $4,073.80 | $5,623.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $602.56 | Professional | None | $436.52 | $478.63 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $707.95 Typical High $831.76 | Professional | None | $371.54 | $707.95 | $831.76 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $724.44 | Professional | None | $316.23 | $512.86 | $724.44 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $724.44 | Professional | None | $331.13 | $380.19 | $724.44 |
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 $186.21 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $186.21 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $74.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $281.84 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $56.23 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $37.15 | $57.54 | $57.54 |
Where Utah sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 51st of 51
$295
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.