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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | None | $25.70 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $45.71 | Professional | None | $28.84 | $31.62 | $45.71 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None | $23.44 | $27.54 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $389.05 | Facility | None | $204.17 | $263.03 | $389.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $56.23 | Professional | None | $47.86 | $50.12 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Select Health Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $41.69 | Professional | None | $26.92 | $38.02 | $41.69 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $9.33 Median $30.20 Typical High $45.71 | Professional | None | $9.33 | $30.20 | $45.71 |
United Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $43.65 | Professional | None | $23.44 | $30.90 | $43.65 |
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 $12.88 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $12.88 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $5.13 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $3.89 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.57 | $3.02 | $3.02 |
Where Utah sits
The same service costs 2.5 times more in Minnesota than in Arkansas. 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· 39th of 51
$30.20
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.