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 $251.19 Median $2,951.21 Typical High $4,570.88 | Facility | None | $251.19 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $676.08 Typical High $1,096.48 | Professional | None | $190.55 | $676.08 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $758.58 Typical High $776.25 | Facility | None | $741.31 | $758.58 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $812.83 Typical High $1,148.15 | Professional | None | $229.09 | $812.83 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $776.25 | Professional | None | $512.86 | $630.96 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,235.94 Median $4,265.80 Typical High $6,165.95 | Facility | None | $3,235.94 | $4,265.80 | $6,165.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $407.38 Typical High $1,202.26 | Professional | None | $199.53 | $407.38 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $134.90 Median $933.25 Typical High $1,445.44 | Professional | None | $134.90 | $933.25 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $162.18 Median $616.60 Typical High $1,318.26 | Professional | None | $162.18 | $616.60 | $1,318.26 |
2 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 $154.88 Median $275.42 Typical High $812.83 | Professional | 54 · Surgery only | $154.88 | $275.42 | $812.83 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $4,897.79 Median $6,309.57 Typical High $9,120.11 | Facility | 50 · Both sides | $4,897.79 | $6,309.57 | $9,120.11 |
Where Utah sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 40th of 51
$692
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.