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 $154.88 Median $181.97 Typical High $4,570.88 | Facility | None | $154.88 | $181.97 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $181.97 | Professional | None | $123.03 | $154.88 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $79.43 Typical High $79.43 | Facility | None | $75.86 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $251.19 | Professional | None | $169.82 | $194.98 | $251.19 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $169.82 | Professional | None | $120.23 | $141.25 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $2,630.27 | Facility | None | $1,258.93 | $1,778.28 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $263.03 | Professional | None | $165.96 | $199.53 | $263.03 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $107.15 Median $218.78 Typical High $316.23 | Professional | None | $107.15 | $218.78 | $316.23 |
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 $131.83 Median $162.18 Typical High $281.84 | Professional | None | $131.83 | $162.18 | $281.84 |
5 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 $70.79 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $70.79 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $36.31 | Professional | 53 · Discontinued | $28.18 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | 54 · Surgery only | $107.15 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $23.44 Typical High $27.54 | Professional | 55 · Aftercare only | $21.38 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $15.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $14.13 | $15.49 | $18.20 |
Where Utah sits
The same service costs 2.9 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· 37th of 51
$166
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.