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 $57.54 Median $114.82 Typical High $4,570.88 | Facility | None | $57.54 | $114.82 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $120.23 | Professional | None | $45.71 | $87.10 | $120.23 |
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 $61.66 Median $107.15 Typical High $162.18 | Professional | None | $61.66 | $107.15 | $162.18 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $104.71 | Professional | None | $72.44 | $85.11 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $691.83 | Facility | None | $380.19 | $478.63 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $57.54 Median $117.49 Typical High $154.88 | Professional | None | $57.54 | $117.49 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $57.54 Median $117.49 Typical High $199.53 | Professional | None | $57.54 | $117.49 | $199.53 |
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 $47.86 Median $89.13 Typical High $165.96 | Professional | None | $47.86 | $89.13 | $165.96 |
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 $28.84 Median $41.69 Typical High $57.54 | Professional | 52 · Reduced service | $28.84 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.60 Typical High $22.91 | Professional | 53 · Discontinued | $11.48 | $16.60 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $61.66 Typical High $87.10 | Professional | 54 · Surgery only | $42.66 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $12.59 Typical High $17.38 | Professional | 55 · Aftercare only | $8.51 | $12.59 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.32 Typical High $11.48 | Professional | 56 · Pre-op care only | $5.75 | $8.32 | $11.48 |
Where Utah sits
The same service costs 3.3 times more in Alaska 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· 37th of 51
$93.33
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.