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 $35.48 Median $42.66 Typical High $4,570.88 | Facility | None | $35.48 | $42.66 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $42.66 | Professional | None | $34.67 | $38.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $57.54 | Professional | None | $33.88 | $46.77 | $57.54 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $34.67 | Professional | None | $23.44 | $27.54 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $616.60 Median $812.83 Typical High $1,202.26 | Facility | None | $616.60 | $812.83 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $60.26 | Professional | None | $42.66 | $51.29 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $74.13 | Professional | None | $41.69 | $56.23 | $74.13 |
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 $30.90 Median $38.90 Typical High $60.26 | Professional | None | $30.90 | $38.90 | $60.26 |
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 $17.78 Median $20.89 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.32 Typical High $8.71 | Professional | 53 · Discontinued | $7.08 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | 54 · Surgery only | $26.92 | $31.62 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.31 Typical High $6.46 | Professional | 55 · Aftercare only | $5.37 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.17 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.55 | $4.17 | $4.27 |
Where Utah sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 51st of 51
$35.48
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.