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 $56.23 Median $67.61 Typical High $4,570.88 | Facility | None | $56.23 | $67.61 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $67.61 | Professional | None | $56.23 | $63.10 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $39.81 Typical High $40.74 | Facility | None | $37.15 | $39.81 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $81.28 | Professional | None | $48.98 | $70.79 | $81.28 |
Molina Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $67.61 | Professional | None | $47.86 | $56.23 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $616.60 Typical High $891.25 | Facility | None | $478.63 | $616.60 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $91.20 | Professional | None | $60.26 | $77.62 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $38.02 Median $69.18 Typical High $109.65 | Professional | None | $38.02 | $69.18 | $109.65 |
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 $45.71 Median $58.88 Typical High $100.00 | Professional | None | $45.71 | $58.88 | $100.00 |
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 $28.18 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $28.18 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.59 Typical High $13.49 | Professional | 53 · Discontinued | $11.22 | $12.59 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $46.77 Typical High $50.12 | Professional | 54 · Surgery only | $42.66 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.33 Typical High $10.23 | Professional | 55 · Aftercare only | $8.51 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.31 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.62 | $6.31 | $6.76 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $707.95 Median $933.25 Typical High $1,348.96 | Facility | 50 · Both sides | $707.95 | $933.25 | $1,348.96 |
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· 38th of 51
$64.57
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.