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 $85.11 Median $2,951.21 Typical High $4,570.88 | Facility | None | $85.11 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $186.21 | Professional | None | $69.18 | $128.82 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $173.78 Typical High $177.83 | Facility | None | $165.96 | $173.78 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $144.54 Typical High $234.42 | Professional | None | $81.28 | $144.54 | $234.42 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
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 $81.28 Median $151.36 Typical High $245.47 | Professional | None | $81.28 | $151.36 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Select Health Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $316.23 | Professional | None | $69.18 | $114.82 | $316.23 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $79.43 Median $199.53 Typical High $354.81 | Professional | None | $79.43 | $199.53 | $354.81 |
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 $63.10 Median $120.23 Typical High $218.78 | Professional | None | $63.10 | $120.23 | $218.78 |
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 $42.66 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $42.66 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $29.51 Typical High $33.88 | Professional | 53 · Discontinued | $17.38 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $109.65 Typical High $128.82 | Professional | 54 · Surgery only | $64.57 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $21.88 Typical High $25.70 | Professional | 55 · Aftercare only | $12.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $14.79 Typical High $16.98 | Professional | 56 · Pre-op care only | $8.51 | $14.79 | $16.98 |
Where Utah sits
The same service costs 3.7 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· 31st 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.