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 $1,621.81 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,621.81 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $1,621.81 Typical High $1,621.81 | Professional | None | $251.19 | $1,621.81 | $1,621.81 |
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 $302.00 Median $338.84 Typical High $489.78 | Professional | None | $302.00 | $338.84 | $489.78 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $257.04 | Professional | None | $30.20 | $44.67 | $257.04 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $371.54 | Professional | None | $309.03 | $331.13 | $371.54 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $288.40 | Professional | None | $204.17 | $239.88 | $288.40 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $4,265.80 | Professional | None | $281.84 | $371.54 | $4,265.80 |
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 $199.53 Median $229.09 Typical High $416.87 | Professional | None | $199.53 | $229.09 | $416.87 |
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 $190.55 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $190.55 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $38.02 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $25.12 | $162.18 | $162.18 |
Where Utah sits
The same service costs 8.1 times more in New York than in Missouri. 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· 26th of 51
$331
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.