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 $758.58 Median $3,162.28 Typical High $4,570.88 | Facility | None | $758.58 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $758.58 | Professional | None | $537.03 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $380.19 | Facility | None | $354.81 | $371.54 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $977.24 | Professional | None | $616.60 | $724.44 | $977.24 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $467.74 | Professional | None | $346.74 | $398.11 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $1,995.26 | Facility | None | $1,047.13 | $1,380.38 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,000.00 | Professional | None | $660.69 | $776.25 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $371.54 Median $794.33 Typical High $977.24 | Professional | None | $371.54 | $794.33 | $977.24 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,096.48 | Professional | None | $478.63 | $630.96 | $1,096.48 |
6 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 $269.15 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $269.15 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $107.15 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $407.38 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $81.28 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $53.70 | $75.86 | $75.86 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,584.89 Median $2,041.74 Typical High $3,019.95 | Facility | 50 · Both sides | $1,584.89 | $2,041.74 | $3,019.95 |
Where Utah sits
The same service costs 4.0 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
$525
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.