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 $42.66 Median $2,951.21 Typical High $4,570.88 | Facility | None | $42.66 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $102.33 Typical High $177.83 | Professional | None | $30.90 | $102.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $117.49 | Facility | None | $109.65 | $114.82 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $117.49 Typical High $169.82 | Professional | None | $41.69 | $117.49 | $169.82 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $134.90 | Professional | None | $93.33 | $112.20 | $134.90 |
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 $46.77 Median $151.36 Typical High $208.93 | Professional | None | $46.77 | $151.36 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Select Health Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $44.67 | Professional | None | $31.62 | $38.02 | $44.67 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $154.88 Typical High $281.84 | Professional | None | $41.69 | $154.88 | $281.84 |
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 $28.84 Median $104.71 Typical High $177.83 | Professional | None | $28.84 | $104.71 | $177.83 |
1 more rate 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 $32.36 Median $56.23 Typical High $134.90 | Professional | 54 · Surgery only | $32.36 | $56.23 | $134.90 |
Where Utah sits
The same service costs 5.1 times more in Iowa 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· 25th of 51
$115
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.