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 $1,258.93 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,258.93 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $1,258.93 Typical High $1,258.93 | Professional | None | $389.05 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $758.58 | Professional | None | $446.68 | $524.81 | $758.58 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $389.05 | Professional | None | $30.20 | $44.67 | $389.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $575.44 | Professional | None | $436.52 | $467.74 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Select Health Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $354.81 | Professional | None | $229.09 | $309.03 | $354.81 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $2,454.71 | Professional | None | $407.38 | $537.03 | $2,454.71 |
United Setting Facility Modifier None Typical Low $199.53 Median $2,951.21 Typical High $13,803.84 | Facility | None | $199.53 | $2,951.21 | $13,803.84 |
United Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $602.56 | Professional | None | $295.12 | $331.13 | $602.56 |
3 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 54 · Surgery only Typical Low $281.84 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $281.84 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $56.23 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $37.15 | $125.89 | $125.89 |
Where Utah sits
The same service costs 15.1 times more in New York than in Hawaii. 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· 27th of 51
$468
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.