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 $51.29 Median $54.95 Typical High $72.44 | Facility | None | $51.29 | $54.95 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $81.28 | Professional | None | $51.29 | $61.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $190.55 | Facility | None | $120.23 | $120.23 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $83.18 | Professional | None | $57.54 | $72.44 | $83.18 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | None | $48.98 | $56.23 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $83.18 | Professional | None | $46.77 | $64.57 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $309.03 | Professional | None | $44.67 | $54.95 | $309.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $190.55 | Professional | None | $50.12 | $87.10 | $190.55 |
United Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $102.33 | Professional | None | $44.67 | $67.61 | $102.33 |
6 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 Facility Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $36.31 | Facility | 52 · Reduced service | $25.12 | $25.12 | $36.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $10.96 | Facility | 55 · Aftercare only | $7.59 | $7.59 | $10.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $7.24 | Facility | 56 · Pre-op care only | $5.13 | $5.13 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $27.54 Typical High $36.31 | Professional | 52 · Reduced service | $25.12 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $8.32 Typical High $10.96 | Professional | 55 · Aftercare only | $7.59 | $8.32 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.50 Typical High $7.24 | Professional | 56 · Pre-op care only | $5.13 | $5.50 | $7.24 |
Where Utah sits
The same service costs 2.2 times more in Alaska than in New Jersey. 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· 38th of 51
$60.26
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.