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 $66.07 Median $66.07 Typical High $109.65 | Facility | None | $66.07 | $66.07 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $109.65 | Professional | None | $61.66 | $72.44 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $112.20 | Professional | None | $44.67 | $77.62 | $112.20 |
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 $616.60 Median $812.83 Typical High $1,202.26 | Facility | None | $616.60 | $812.83 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $131.83 | Professional | None | $57.54 | $95.50 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $169.82 | Professional | None | $74.13 | $134.90 | $169.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $95.50 | Professional | None | $39.81 | $54.95 | $95.50 |
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 $32.36 Median $36.31 Typical High $54.95 | Professional | 52 · Reduced service | $32.36 | $36.31 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.45 Typical High $21.88 | Professional | 53 · Discontinued | $13.18 | $14.45 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.72 Typical High $16.60 | Professional | 55 · Aftercare only | $9.77 | $10.72 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.24 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.61 | $7.24 | $10.96 |
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 2.8 times more in Alaska than in Maryland. 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· 25th 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.