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 $42.66 Median $2,951.21 Typical High $4,570.88 | Facility | None | $42.66 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $123.03 Typical High $223.87 | Professional | None | $30.90 | $123.03 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $147.91 Typical High $218.78 | Professional | None | $41.69 | $147.91 | $218.78 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | None | $93.33 | $112.20 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $724.44 | Facility | None | $398.11 | $501.19 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $37.15 Median $83.18 Typical High $213.80 | Professional | None | $37.15 | $83.18 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $29.51 Median $54.95 Typical High $380.19 | Professional | None | $29.51 | $54.95 | $380.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $29.51 Median $162.18 Typical High $288.40 | Professional | None | $29.51 | $162.18 | $288.40 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,466.84 Typical High $5,128.61 | Facility | None | $1,698.24 | $4,466.84 | $5,128.61 |
United Setting Professional Modifier None Typical Low $30.90 Median $141.25 Typical High $295.12 | Professional | None | $30.90 | $141.25 | $295.12 |
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 $31.62 Median $67.61 Typical High $169.82 | Professional | 54 · Surgery only | $31.62 | $67.61 | $169.82 |
Where Utah sits
The same service costs 4.7 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· 41st of 51
$115
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.