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 $131.83 Median $2,884.03 Typical High $4,786.30 | Facility | None | $131.83 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $251.19 | Professional | None | $114.82 | $158.49 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $199.53 Typical High $204.17 | Facility | None | $190.55 | $199.53 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $331.13 | Professional | None | $141.25 | $199.53 | $331.13 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $245.47 | Professional | None | $169.82 | $199.53 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $912.01 | Facility | None | $501.19 | $630.96 | $912.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $338.84 | Professional | None | $190.55 | $288.40 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $109.65 Median $302.00 Typical High $436.52 | Professional | None | $109.65 | $302.00 | $436.52 |
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 $141.25 Median $213.80 Typical High $380.19 | Professional | None | $141.25 | $213.80 | $380.19 |
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 $97.72 Median $131.83 Typical High $151.36 | Professional | 54 · Surgery only | $97.72 | $131.83 | $151.36 |
Where Utah sits
The same service costs 4.2 times more in Alaska 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· 41st of 51
$204
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.