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 $69.18 Median $69.18 Typical High $107.15 | Facility | None | $69.18 | $69.18 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $107.15 | Professional | None | $64.57 | $77.62 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $114.82 | Professional | None | $47.86 | $74.13 | $114.82 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $100.00 | Professional | None | $70.79 | $83.18 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $190.55 | Facility | None | $123.03 | $138.04 | $190.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $107.15 Typical High $128.82 | Professional | None | $66.07 | $107.15 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $173.78 | Professional | None | $83.18 | $128.82 | $173.78 |
United Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $93.33 | Professional | None | $41.69 | $60.26 | $93.33 |
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 $33.88 Median $38.02 Typical High $53.70 | Professional | 52 · Reduced service | $33.88 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $15.14 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $11.48 Typical High $16.22 | Professional | 55 · Aftercare only | $10.23 | $11.48 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.59 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.76 | $7.59 | $10.72 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Utah sits
The same service costs 3.0 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· 27th of 51
$79.43
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.