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 $64.57 Median $138.04 Typical High $4,570.88 | Facility | None | $64.57 | $138.04 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $151.36 | Professional | None | $52.48 | $93.33 | $151.36 |
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 $63.10 Median $97.72 Typical High $147.91 | Professional | None | $63.10 | $97.72 | $147.91 |
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 $204.17 Median $263.03 Typical High $389.05 | Facility | None | $204.17 | $263.03 | $389.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $100.00 Typical High $131.83 | Professional | None | $60.26 | $100.00 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $63.10 Median $104.71 Typical High $162.18 | Professional | None | $63.10 | $104.71 | $162.18 |
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 $46.77 Median $81.28 Typical High $144.54 | Professional | None | $46.77 | $81.28 | $144.54 |
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 $30.20 Median $38.02 Typical High $69.18 | Professional | 52 · Reduced service | $30.20 | $38.02 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.14 Typical High $27.54 | Professional | 53 · Discontinued | $12.02 | $15.14 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $56.23 Typical High $102.33 | Professional | 54 · Surgery only | $45.71 | $56.23 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.48 Typical High $20.42 | Professional | 55 · Aftercare only | $9.12 | $11.48 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.59 Typical High $13.80 | Professional | 56 · Pre-op care only | $6.03 | $7.59 | $13.80 |
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· 28th 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.