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 $38.02 Median $38.02 Typical High $104.71 | Facility | None | $38.02 | $38.02 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $52.48 Typical High $104.71 | Professional | None | $30.20 | $52.48 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $91.20 Typical High $117.49 | Professional | None | $37.15 | $91.20 | $117.49 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $104.71 | Professional | None | $70.79 | $85.11 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $213.80 | Facility | None | $112.20 | $147.91 | $213.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $31.62 Median $79.43 Typical High $104.71 | Professional | None | $31.62 | $79.43 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $138.04 | Professional | None | $30.20 | $41.69 | $138.04 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $34.67 Median $100.00 Typical High $169.82 | Professional | None | $34.67 | $100.00 | $169.82 |
United Setting Professional Modifier None Typical Low $28.18 Median $74.13 Typical High $128.82 | Professional | None | $28.18 | $74.13 | $128.82 |
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 $16.98 Median $24.55 Typical High $52.48 | Professional | 52 · Reduced service | $16.98 | $24.55 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $9.77 Typical High $20.89 | Professional | 53 · Discontinued | $6.76 | $9.77 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $7.41 Typical High $15.85 | Professional | 55 · Aftercare only | $5.01 | $7.41 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.90 Typical High $10.47 | Professional | 56 · Pre-op care only | $3.39 | $4.90 | $10.47 |
Where Utah sits
The same service costs 3.6 times more in North Carolina than in Washington, DC. 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· 21st of 51
$83.18
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.