How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $21.88 | Professional | None | $17.38 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $29.51 | Professional | None | $19.95 | $26.30 | $29.51 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $31.62 Typical High $60.26 | Professional | None | $13.18 | $31.62 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $24.55 | Professional | None | $16.98 | $19.95 | $24.55 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $46.77 | Facility | None | $18.62 | $23.99 | $46.77 |
Select Health Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $25.12 | Professional | None | $18.62 | $21.88 | $25.12 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $66.07 | Professional | None | $16.98 | $26.30 | $66.07 |
United Setting Professional Modifier None Typical Low $16.22 Median $18.62 Typical High $27.54 | Professional | None | $16.22 | $18.62 | $27.54 |
4 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 $8.71 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $8.71 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.47 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $2.63 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.74 | $2.19 | $2.19 |
Where Utah sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 24th of 51
$21.38
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.