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 $275.42 Median $3,467.37 Typical High $4,786.30 | Facility | None | $275.42 | $3,467.37 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $2,511.89 Typical High $3,467.37 | Professional | None | $234.42 | $2,511.89 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $5,128.61 Typical High $5,128.61 | Facility | None | $4,897.79 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $2,951.21 Typical High $4,786.30 | Professional | None | $331.13 | $2,951.21 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $2,754.23 | Professional | None | $1,862.09 | $2,290.87 | $2,754.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,332.54 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $4,168.69 | Professional | None | $302.00 | $426.58 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Select Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $354.81 Median $3,801.89 Typical High $10,471.29 | Professional | None | $354.81 | $3,801.89 | $10,471.29 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $6,025.60 Typical High $13,803.84 | Facility | None | $1,698.24 | $6,025.60 | $13,803.84 |
United Setting Professional Modifier None Typical Low $245.47 Median $2,570.40 Typical High $6,025.60 | Professional | None | $245.47 | $2,570.40 | $6,025.60 |
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 $138.04 Median $218.78 Typical High $1,737.80 | Professional | 52 · Reduced service | $138.04 | $218.78 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $87.10 Typical High $691.83 | Professional | 53 · Discontinued | $54.95 | $87.10 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $323.59 Typical High $2,570.40 | Professional | 54 · Surgery only | $204.17 | $323.59 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $64.57 Typical High $512.86 | Professional | 55 · Aftercare only | $40.74 | $64.57 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $43.65 Typical High $346.74 | Professional | 56 · Pre-op care only | $27.54 | $43.65 | $346.74 |
Where Utah sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 36th of 51
$2,455
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.