How much rates vary
Facilitymedian $282 · 10th to 90th $219 to $457Professionalmedian $98 · 10th to 90th $34 to $229
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $123.03 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $36.31 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $245.47 | Professional | None (both parts) | $144.54 | $239.88 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $51.29 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $186.21 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $186.21 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
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 (both parts) Typical Low $229.09 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $229.09 | $245.47 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $66.07 | $69.18 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $194.98 | Professional | TC · Technical part | $165.96 | $173.78 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $131.83 | $186.21 | $263.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $46.77 Median $123.03 Typical High $218.78 | Professional | None | $46.77 | $123.03 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $131.83 | $177.83 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $38.90 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $120.23 | $199.53 |
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 $61.66 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $61.66 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $24.55 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $18.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $12.30 | $21.88 | $21.88 |
Where Utah sits
The same service costs 3.2 times more in Kansas than in Utah. 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· 51st of 51
$100
KS $324UT $100
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.