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 $123.03 Median $131.83 Typical High $162.18 | Facility | None | $123.03 | $131.83 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $177.83 | Professional | None | $123.03 | $138.04 | $177.83 |
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 $144.54 Median $177.83 Typical High $204.17 | Professional | None | $144.54 | $177.83 | $204.17 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $169.82 | Professional | None | $123.03 | $141.25 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $194.98 | Professional | None | $131.83 | $162.18 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $512.86 | Professional | None | $125.89 | $158.49 | $512.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $416.87 | Professional | None | $131.83 | $208.93 | $416.87 |
United Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $234.42 | Professional | None | $117.49 | $154.88 | $234.42 |
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 $66.07 Median $66.07 Typical High $81.28 | Facility | 52 · Reduced service | $66.07 | $66.07 | $81.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $24.55 | Facility | 55 · Aftercare only | $19.50 | $19.50 | $24.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $16.22 | Facility | 56 · Pre-op care only | $13.18 | $13.18 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.95 Typical High $24.55 | Professional | 55 · Aftercare only | $19.50 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.49 Typical High $16.22 | Professional | 56 · Pre-op care only | $13.18 | $13.49 | $16.22 |
Where Utah sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 31st of 51
$145
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.