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 TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | TC · Technical part | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $75.86 | $85.11 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $95.50 | $117.49 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | TC · Technical part | $114.82 | $114.82 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $58.88 Typical High $72.44 | Professional | None (both parts) | $51.29 | $58.88 | $72.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,584.89 | Facility | None | $870.96 | $1,096.48 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $91.20 | $95.50 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Select Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $70.79 | $95.50 | $190.55 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $177.83 | Professional | None | $83.18 | $125.89 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $77.62 | $100.00 | $154.88 |
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 $51.29 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $51.29 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.47 | $10.72 | $10.72 |
Where Utah sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 36th of 51
$91.20
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.