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 $79.43 Median $169.82 Typical High $4,570.88 | Facility | None | $79.43 | $169.82 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $186.21 | Professional | None | $70.79 | $123.03 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $169.82 Typical High $223.87 | Professional | None | $87.10 | $169.82 | $223.87 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | None | $95.50 | $114.82 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $275.42 | Facility | None | $186.21 | $208.93 | $275.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $165.96 Typical High $204.17 | Professional | None | $70.79 | $165.96 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Select Health Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $407.38 | Professional | None | $63.10 | $91.20 | $407.38 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $85.11 Median $194.98 Typical High $363.08 | Professional | None | $85.11 | $194.98 | $363.08 |
United Setting Professional Modifier None Typical Low $64.57 Median $131.83 Typical High $234.42 | Professional | None | $64.57 | $131.83 | $234.42 |
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 $39.81 Median $45.71 Typical High $85.11 | Professional | 52 · Reduced service | $39.81 | $45.71 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $33.88 | Professional | 53 · Discontinued | $15.85 | $18.20 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $69.18 Typical High $125.89 | Professional | 54 · Surgery only | $60.26 | $69.18 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $13.80 Typical High $25.70 | Professional | 55 · Aftercare only | $12.02 | $13.80 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $9.12 Typical High $16.98 | Professional | 56 · Pre-op care only | $7.94 | $9.12 | $16.98 |
Where Utah sits
The same service costs 3.5 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· 45th of 51
$117
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.