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 $56.23 Median $2,951.21 Typical High $4,570.88 | Facility | None | $56.23 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $87.10 | Professional | None | $47.86 | $69.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $54.95 Typical High $54.95 | Facility | None | $52.48 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $123.03 | Professional | None | $52.48 | $79.43 | $123.03 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | None | $48.98 | $56.23 | $69.18 |
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 $47.86 Median $91.20 Typical High $120.23 | Professional | None | $47.86 | $91.20 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $47.86 Median $95.50 Typical High $158.49 | Professional | None | $47.86 | $95.50 | $158.49 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $123.03 | Professional | None | $38.90 | $67.61 | $123.03 |
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 $36.31 Median $50.12 Typical High $64.57 | Professional | 54 · Surgery only | $36.31 | $50.12 | $64.57 |
Where Utah sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 47th of 51
$64.57
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.