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 $112.20 Median $2,951.21 Typical High $4,570.88 | Facility | None | $112.20 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $158.49 | Professional | None | $69.18 | $112.20 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $48.98 Typical High $50.12 | Facility | None | $46.77 | $48.98 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $131.83 | Professional | None | $87.10 | $97.72 | $131.83 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $67.61 | Professional | None | $48.98 | $56.23 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $891.25 | Facility | None | $478.63 | $602.56 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $141.25 | Professional | None | $83.18 | $117.49 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $77.62 | Professional | None | $56.23 | $66.07 | $77.62 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $190.55 | Professional | None | $60.26 | $109.65 | $190.55 |
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 $51.29 Median $74.13 Typical High $123.03 | Professional | None | $51.29 | $74.13 | $123.03 |
6 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 $43.65 Median $56.23 Typical High $79.43 | Professional | 52 · Reduced service | $43.65 | $56.23 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $22.91 Typical High $31.62 | Professional | 53 · Discontinued | $17.38 | $22.91 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $85.11 Typical High $120.23 | Professional | 54 · Surgery only | $64.57 | $85.11 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $16.98 Typical High $23.99 | Professional | 55 · Aftercare only | $13.18 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $11.22 Typical High $15.85 | Professional | 56 · Pre-op care only | $8.71 | $11.22 | $15.85 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $707.95 Median $912.01 Typical High $1,318.26 | Facility | 50 · Both sides | $707.95 | $912.01 | $1,318.26 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 44th of 51
$74.13
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.