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 $45.71 Median $45.71 Typical High $50.12 | Facility | None | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $50.12 | Professional | None | $40.74 | $45.71 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $48.98 Typical High $54.95 | Professional | None | $30.20 | $48.98 | $54.95 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $67.61 | Professional | None | $48.98 | $56.23 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $467.74 | Facility | None | $251.19 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $56.23 | Professional | None | $39.81 | $47.86 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $41.69 Typical High $50.12 | Professional | None | $22.91 | $41.69 | $50.12 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $70.79 | Professional | None | $44.67 | $54.95 | $70.79 |
United Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $47.86 | Professional | None | $31.62 | $38.02 | $47.86 |
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 $20.42 Median $22.91 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $22.91 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.12 Typical High $10.00 | Professional | 53 · Discontinued | $8.13 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.92 Typical High $7.59 | Professional | 55 · Aftercare only | $6.03 | $6.92 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.57 Typical High $5.01 | Professional | 56 · Pre-op care only | $4.07 | $4.57 | $5.01 |
Where Utah sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 14th of 51
$50.12
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.