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 $52.48 Median $2,951.21 Typical High $4,570.88 | Facility | None | $52.48 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $69.18 | Professional | None | $38.02 | $52.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $28.18 Typical High $28.84 | Facility | None | $26.92 | $28.18 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $64.57 | Professional | None | $48.98 | $57.54 | $64.57 |
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 $52.48 Median $74.13 Typical High $91.20 | Professional | None | $52.48 | $74.13 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Select Health Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $51.29 | Professional | None | $35.48 | $43.65 | $51.29 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $123.03 | Professional | None | $41.69 | $70.79 | $123.03 |
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 $32.36 Median $44.67 Typical High $70.79 | Professional | None | $32.36 | $44.67 | $70.79 |
2 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 54 · Surgery only Typical Low $38.02 Median $39.81 Typical High $52.48 | Professional | 54 · Surgery only | $38.02 | $39.81 | $52.48 |
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 3.3 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· 27th of 51
$56.23
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.