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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.90 Typical High $38.90 | Professional | None | $21.38 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $42.66 Typical High $45.71 | Professional | None | $24.55 | $42.66 | $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 $338.84 Median $416.87 Typical High $602.56 | Facility | None | $338.84 | $416.87 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $26.92 | Professional | None | $22.91 | $24.55 | $26.92 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Select Health Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $52.48 | Professional | None | $21.38 | $42.66 | $52.48 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $50.12 | Professional | None | $26.30 | $34.67 | $50.12 |
United Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $47.86 | Professional | None | $23.99 | $30.20 | $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 $10.72 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $10.72 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $4.27 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $3.24 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.14 | $3.89 | $3.89 |
Where Utah sits
The same service costs 2.5 times more in Iowa than in Pennsylvania. 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· 42nd of 51
$27.54
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.