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 $169.82 Median $2,951.21 Typical High $4,570.88 | Facility | None | $169.82 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $223.87 | Professional | None | $120.23 | $169.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $144.54 | Facility | None | $134.90 | $141.25 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $218.78 | Professional | None | $154.88 | $190.55 | $218.78 |
Molina Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $204.17 | Professional | None | $144.54 | $169.82 | $204.17 |
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 $181.97 Median $263.03 Typical High $331.13 | Professional | None | $181.97 | $263.03 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $173.78 | Professional | None | $123.03 | $147.91 | $173.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $144.54 Median $257.04 Typical High $416.87 | Professional | None | $144.54 | $257.04 | $416.87 |
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 $107.15 Median $154.88 Typical High $239.88 | Professional | None | $107.15 | $154.88 | $239.88 |
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 $85.11 Median $85.11 Typical High $112.20 | Professional | 52 · Reduced service | $85.11 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | 53 · Discontinued | $33.88 | $33.88 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | 54 · Surgery only | $125.89 | $125.89 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $22.39 |
Where Utah sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 35th of 51
$182
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.