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 $371.54 Median $2,951.21 Typical High $4,570.88 | Facility | None | $371.54 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $489.78 | Professional | None | $346.74 | $371.54 | $489.78 |
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 $398.11 Median $501.19 Typical High $645.65 | Professional | None | $398.11 | $501.19 | $645.65 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $407.38 | Professional | None | $288.40 | $338.84 | $407.38 |
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 $389.05 Median $501.19 Typical High $645.65 | Professional | None | $389.05 | $501.19 | $645.65 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Select Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $251.19 Median $537.03 Typical High $794.33 | Professional | None | $251.19 | $537.03 | $794.33 |
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 $309.03 Median $416.87 Typical High $691.83 | Professional | None | $309.03 | $416.87 | $691.83 |
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 $173.78 Median $186.21 Typical High $245.47 | Professional | 52 · Reduced service | $173.78 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $74.13 Typical High $97.72 | Professional | 53 · Discontinued | $70.79 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $275.42 Typical High $363.08 | Professional | 54 · Surgery only | $263.03 | $275.42 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $54.95 Typical High $72.44 | Professional | 55 · Aftercare only | $52.48 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $37.15 Typical High $48.98 | Professional | 56 · Pre-op care only | $34.67 | $37.15 | $48.98 |
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· 41st of 51
$398
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.