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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | None | $173.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $288.40 | Professional | None | $177.83 | $204.17 | $288.40 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $173.78 | Professional | None | $117.49 | $141.25 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $1,000.00 | Facility | None | $549.54 | $676.08 | $1,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $251.19 | Professional | None | $173.78 | $194.98 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Select Health Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $331.13 | Professional | None | $162.18 | $281.84 | $331.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $331.13 | Professional | None | $165.96 | $234.42 | $331.13 |
United Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $263.03 | Professional | None | $154.88 | $177.83 | $263.03 |
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 $87.10 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $26.30 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.38 | $21.88 | $21.88 |
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· 50th of 51
$158
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.