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 $51.29 Median $2,951.21 Typical High $4,570.88 | Facility | None | $51.29 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $117.49 Typical High $177.83 | Professional | None | $51.29 | $117.49 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $147.91 Typical High $229.09 | Professional | None | $46.77 | $147.91 | $229.09 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $173.78 | Professional | None | $117.49 | $141.25 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,754.23 | Facility | None | $1,445.44 | $1,862.09 | $2,754.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $234.42 | Professional | None | $51.29 | $93.33 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $295.12 | Professional | None | $42.66 | $70.79 | $295.12 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $50.12 Median $177.83 Typical High $309.03 | Professional | None | $50.12 | $177.83 | $309.03 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $38.90 Median $109.65 Typical High $229.09 | Professional | None | $38.90 | $109.65 | $229.09 |
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 $25.70 Median $57.54 Typical High $89.13 | Professional | 52 · Reduced service | $25.70 | $57.54 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $23.44 Typical High $35.48 | Professional | 53 · Discontinued | $10.23 | $23.44 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $87.10 Typical High $134.90 | Professional | 54 · Surgery only | $38.90 | $87.10 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $17.38 Typical High $26.92 | Professional | 55 · Aftercare only | $7.76 | $17.38 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $11.75 Typical High $17.78 | Professional | 56 · Pre-op care only | $5.13 | $11.75 | $17.78 |
Where Utah sits
The same service costs 4.6 times more in Wisconsin 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
$141
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.