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 $104.71 Median $2,951.21 Typical High $4,570.88 | Facility | None | $104.71 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $190.55 | Professional | None | $70.79 | $104.71 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $61.66 | Facility | None | $57.54 | $60.26 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $158.49 | Professional | None | $91.20 | $100.00 | $158.49 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $100.00 | Professional | None | $72.44 | $85.11 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,089.30 | Facility | None | $1,148.15 | $1,412.54 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $158.49 | Professional | None | $87.10 | $125.89 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $81.28 | Professional | None | $58.88 | $70.79 | $81.28 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $229.09 | Professional | None | $67.61 | $120.23 | $229.09 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $151.36 | Professional | None | $54.95 | $83.18 | $151.36 |
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 $51.29 Median $52.48 Typical High $95.50 | Professional | 52 · Reduced service | $51.29 | $52.48 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $38.02 | Professional | 53 · Discontinued | $20.42 | $20.89 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $77.62 Typical High $144.54 | Professional | 54 · Surgery only | $75.86 | $77.62 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.49 Typical High $28.84 | Professional | 55 · Aftercare only | $15.14 | $15.49 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.47 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.23 | $10.47 | $19.05 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,698.24 Median $2,137.96 Typical High $3,090.30 | Facility | 50 · Both sides | $1,698.24 | $2,137.96 | $3,090.30 |
Where Utah sits
The same service costs 3.2 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· 33rd of 51
$95.50
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.