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 $302.00 Median $2,884.03 Typical High $4,786.30 | Facility | None | $302.00 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $1,071.52 | Professional | None | $302.00 | $630.96 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $831.76 Typical High $1,202.26 | Professional | None | $295.12 | $831.76 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $831.76 | Professional | None | $562.34 | $660.69 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $7,244.36 Typical High $10,471.29 | Facility | None | $5,754.40 | $7,244.36 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $575.44 Typical High $1,348.96 | Professional | None | $257.04 | $575.44 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $7,585.78 | Professional | None | $213.80 | $380.19 | $7,585.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $257.04 Median $1,047.13 Typical High $1,659.59 | Professional | None | $257.04 | $1,047.13 | $1,659.59 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $8,128.31 Typical High $8,317.64 | Facility | None | $5,128.61 | $8,128.31 | $8,317.64 |
United Setting Professional Modifier None Typical Low $213.80 Median $741.31 Typical High $1,698.24 | Professional | None | $213.80 | $741.31 | $1,698.24 |
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 $151.36 Median $309.03 Typical High $524.81 | Professional | 52 · Reduced service | $151.36 | $309.03 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $123.03 Typical High $213.80 | Professional | 53 · Discontinued | $60.26 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $467.74 Typical High $794.33 | Professional | 54 · Surgery only | $223.87 | $467.74 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $93.33 Typical High $158.49 | Professional | 55 · Aftercare only | $44.67 | $93.33 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $61.66 Typical High $107.15 | Professional | 56 · Pre-op care only | $30.20 | $61.66 | $107.15 |
Where Utah sits
The same service costs 5.4 times more in Wisconsin than in Maryland. 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· 39th of 51
$708
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.