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 $269.15 Median $3,162.28 Typical High $4,570.88 | Facility | None | $269.15 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $288.40 | Professional | None | $239.88 | $269.15 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $776.25 Typical High $794.33 | Facility | None | $741.31 | $776.25 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $436.52 | Professional | None | $251.19 | $323.59 | $436.52 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $204.17 | Professional | None | $147.91 | $169.82 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $3,548.13 | Facility | None | $1,905.46 | $2,454.71 | $3,548.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $371.54 | Professional | None | $281.84 | $316.23 | $371.54 |
Select Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $436.52 | Professional | None | $239.88 | $371.54 | $436.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $467.74 | Professional | None | $223.87 | $323.59 | $467.74 |
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 $213.80 Median $239.88 Typical High $436.52 | Professional | None | $213.80 | $239.88 | $436.52 |
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 $117.49 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $47.86 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $199.53 Typical High $208.93 | Professional | 54 · Surgery only | $177.83 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $40.74 Typical High $41.69 | Professional | 55 · Aftercare only | $35.48 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $26.92 Typical High $27.54 | Professional | 56 · Pre-op care only | $23.99 | $26.92 | $27.54 |
Where Utah sits
The same service costs 4.7 times more in Wyoming 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
$195
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.