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 $34.67 Median $2,884.03 Typical High $4,786.30 | Facility | None | $34.67 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $56.23 | Professional | None | $32.36 | $34.67 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $19.50 Typical High $19.95 | Facility | None | $18.20 | $19.50 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $47.86 | Professional | None | $30.90 | $37.15 | $47.86 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $60.26 Typical High $79.43 | Professional | None | $25.12 | $60.26 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $891.25 | Facility | None | $489.78 | $616.60 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $58.88 | Professional | None | $38.02 | $50.12 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Select Health Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $35.48 | Professional | None | $25.70 | $30.90 | $35.48 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $25.12 Median $45.71 Typical High $81.28 | Professional | None | $25.12 | $45.71 | $81.28 |
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 $23.44 Median $30.90 Typical High $50.12 | Professional | None | $23.44 | $30.90 | $50.12 |
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 $16.98 Median $17.38 Typical High $28.18 | Professional | 52 · Reduced service | $16.98 | $17.38 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.92 Typical High $11.22 | Professional | 53 · Discontinued | $6.76 | $6.92 | $11.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.12 Median $26.30 Typical High $42.66 | Professional | 54 · Surgery only | $25.12 | $26.30 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.25 Typical High $8.51 | Professional | 55 · Aftercare only | $5.13 | $5.25 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.47 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.39 | $3.47 | $5.62 |
Where Utah sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 13th of 51
$44.67
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.