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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $14.45 | Professional | None | $11.22 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $15.14 | Professional | None | $8.71 | $11.48 | $15.14 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $21.38 | Professional | None | $8.71 | $19.05 | $21.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $177.83 | Facility | None | $97.72 | $123.03 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | None | $13.18 | $15.49 | $15.49 |
Select Health Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $10.00 Median $17.38 Typical High $21.88 | Professional | None | $10.00 | $17.38 | $21.88 |
United Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $16.22 | Professional | None | $9.55 | $11.48 | $16.22 |
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 $5.62 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $5.62 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.24 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.19 Typical High $2.19 | Professional | 55 · Aftercare only | $1.70 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.12 | $1.45 | $1.45 |
Where Utah sits
The same service costs 3.2 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· 13th of 51
$14.45
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.