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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | None | $87.10 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $144.54 | Professional | None | $102.33 | $117.49 | $144.54 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $69.18 | Professional | None | $51.29 | $57.54 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $120.23 | Professional | None | $87.10 | $102.33 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $234.42 | Facility | None | $77.62 | $100.00 | $234.42 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $107.15 | Professional | None | $85.11 | $100.00 | $107.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $162.18 | Professional | None | $83.18 | $114.82 | $162.18 |
United Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $141.25 | Professional | None | $79.43 | $91.20 | $141.25 |
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 $43.65 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $43.65 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $17.38 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $13.18 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $8.71 | $10.47 | $10.47 |
Where Utah sits
The same service costs 3.1 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· 44th of 51
$89.13
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.