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 $691.83 Median $4,570.88 Typical High $12,022.64 | Facility | None | $691.83 | $4,570.88 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $794.33 | Professional | None | $602.56 | $691.83 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $12,302.69 Typical High $12,302.69 | Facility | None | $11,748.98 | $12,302.69 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,202.26 | Professional | None | $741.31 | $831.76 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $371.54 Typical High $501.19 | Professional | None | $48.98 | $371.54 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $21,379.62 Median $26,302.68 Typical High $38,904.51 | Facility | None | $21,379.62 | $26,302.68 | $38,904.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $954.99 | Professional | None | $812.83 | $912.01 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Select Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,230.27 | Professional | None | $602.56 | $933.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $15,848.93 | Facility | None | $2,398.83 | $5,370.32 | $15,848.93 |
United Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,288.25 | Professional | None | $602.56 | $724.44 | $1,288.25 |
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 $302.00 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $302.00 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $120.23 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $446.68 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $91.20 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $60.26 | $69.18 | $69.18 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $31,622.78 Median $39,810.72 Typical High $57,543.99 | Facility | 50 · Both sides | $31,622.78 | $39,810.72 | $57,543.99 |
Where Utah sits
The same service costs 11.7 times more in Oklahoma 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
$407
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.