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 $162.18 Median $3,162.28 Typical High $4,570.88 | Facility | None | $162.18 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $162.18 | Professional | None | $123.03 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $199.53 | Professional | None | $138.04 | $151.36 | $199.53 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $100.00 | Professional | None | $70.79 | $83.18 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $194.98 | Professional | None | $147.91 | $165.96 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $213.80 Typical High $338.84 | Facility | None | $107.15 | $213.80 | $338.84 |
Select Health Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $223.87 | Professional | None | $125.89 | $190.55 | $223.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $478.63 | Professional | None | $97.72 | $162.18 | $478.63 |
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 $107.15 Median $123.03 Typical High $223.87 | Professional | None | $107.15 | $123.03 | $223.87 |
1 more rate 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 $93.33 Median $120.23 Typical High $120.23 | Professional | 54 · Surgery only | $93.33 | $120.23 | $120.23 |
Where Utah sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 51st of 51
$95.50
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.