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 $234.42 Median $2,951.21 Typical High $4,570.88 | Facility | None | $234.42 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $436.52 | Professional | None | $234.42 | $323.59 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $478.63 | Professional | None | $204.17 | $346.74 | $478.63 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $346.74 | Professional | None | $234.42 | $281.84 | $346.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $478.63 Typical High $562.34 | Professional | None | $223.87 | $478.63 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Select Health Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $616.60 | Professional | None | $151.36 | $223.87 | $616.60 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $147.91 Median $426.58 Typical High $676.08 | Professional | None | $147.91 | $426.58 | $676.08 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,466.84 Typical High $5,128.61 | Facility | None | $1,698.24 | $4,466.84 | $5,128.61 |
United Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $630.96 | Professional | None | $158.49 | $302.00 | $630.96 |
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 $117.49 Median $158.49 Typical High $218.78 | Professional | 52 · Reduced service | $117.49 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $64.57 Typical High $87.10 | Professional | 53 · Discontinued | $46.77 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $239.88 Typical High $331.13 | Professional | 54 · Surgery only | $173.78 | $239.88 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $47.86 Typical High $66.07 | Professional | 55 · Aftercare only | $34.67 | $47.86 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $31.62 Typical High $43.65 | Professional | 56 · Pre-op care only | $23.44 | $31.62 | $43.65 |
Where Utah sits
The same service costs 3.5 times more in Alaska than in Virginia. 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
$288
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.