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 $77.62 Median $2,951.21 Typical High $4,570.88 | Facility | None | $77.62 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $151.36 Typical High $208.93 | Professional | None | $70.79 | $151.36 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $199.53 Typical High $234.42 | Professional | None | $83.18 | $199.53 | $234.42 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $588.84 | Facility | None | $323.59 | $407.38 | $588.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $141.25 Typical High $194.98 | Professional | None | $63.10 | $141.25 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $77.62 | Professional | None | $61.66 | $69.18 | $77.62 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $61.66 Median $181.97 Typical High $251.19 | Professional | None | $61.66 | $181.97 | $251.19 |
United Setting Professional Modifier None Typical Low $66.07 Median $138.04 Typical High $245.47 | Professional | None | $66.07 | $138.04 | $245.47 |
5 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 $36.31 Median $48.98 Typical High $97.72 | Professional | 52 · Reduced service | $36.31 | $48.98 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $19.95 Typical High $39.81 | Professional | 53 · Discontinued | $14.79 | $19.95 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $74.13 Typical High $147.91 | Professional | 54 · Surgery only | $54.95 | $74.13 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.79 Typical High $29.51 | Professional | 55 · Aftercare only | $10.96 | $14.79 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.77 Typical High $19.95 | Professional | 56 · Pre-op care only | $7.24 | $9.77 | $19.95 |
Where Utah sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 33rd of 51
$148
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.