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 $380.19 Median $380.19 Typical High $489.78 | Facility | None | $380.19 | $380.19 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $676.08 | Professional | None | $380.19 | $489.78 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $912.01 | Professional | None | $457.09 | $562.34 | $912.01 |
Molina Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $588.84 | Professional | None | $407.38 | $478.63 | $588.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $870.96 | Professional | None | $537.03 | $707.95 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,122.02 | Professional | None | $467.74 | $724.44 | $1,122.02 |
United Setting Facility Modifier None Typical Low $199.53 Median $2,951.21 Typical High $13,803.84 | Facility | None | $199.53 | $2,951.21 | $13,803.84 |
United Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $851.14 | Professional | None | $363.08 | $489.78 | $851.14 |
3 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 $190.55 Median $239.88 Typical High $257.04 | Professional | 52 · Reduced service | $190.55 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $72.44 Typical High $75.86 | Professional | 55 · Aftercare only | $56.23 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $48.98 Typical High $51.29 | Professional | 56 · Pre-op care only | $38.02 | $48.98 | $51.29 |
Where Utah sits
The same service costs 3.1 times more in Alaska than in Indiana. 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· 35th 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.