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 $104.71 Median $123.03 Typical High $154.88 | Professional | None | $104.71 | $123.03 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $77.62 Typical High $79.43 | Facility | None | $72.44 | $77.62 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $199.53 Typical High $245.47 | Professional | None | $85.11 | $199.53 | $245.47 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $100.00 | Professional | None | $70.79 | $83.18 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $1,000.00 | Facility | None | $549.54 | $676.08 | $1,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $165.96 | Professional | None | $114.82 | $141.25 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $223.87 | Professional | None | $74.13 | $138.04 | $223.87 |
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 $89.13 Median $117.49 Typical High $218.78 | Professional | None | $89.13 | $117.49 | $218.78 |
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 $56.23 Median $56.23 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $22.91 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | 54 · Surgery only | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.48 Typical High $13.49 | Professional | 56 · Pre-op care only | $11.22 | $11.48 | $13.49 |
Where Utah sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 50th of 51
$107
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.