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 $26.30 Median $31.62 Typical High $42.66 | Facility | None | $26.30 | $31.62 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $48.98 | Professional | None | $26.30 | $36.31 | $48.98 |
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 $28.84 Median $44.67 Typical High $60.26 | Professional | None | $28.84 | $44.67 | $60.26 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $67.61 | Professional | None | $48.98 | $56.23 | $67.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $66.07 | Professional | None | $34.67 | $50.12 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $102.33 | Professional | None | $30.20 | $39.81 | $102.33 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $35.48 Median $57.54 Typical High $117.49 | Professional | None | $35.48 | $57.54 | $117.49 |
United Setting Professional Modifier None Typical Low $23.99 Median $41.69 Typical High $67.61 | Professional | None | $23.99 | $41.69 | $67.61 |
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 $13.18 Median $13.18 Typical High $21.38 | Facility | 52 · Reduced service | $13.18 | $13.18 | $21.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $6.31 | Facility | 55 · Aftercare only | $3.89 | $3.89 | $6.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $4.27 | Facility | 56 · Pre-op care only | $2.63 | $2.63 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $19.95 Typical High $21.38 | Professional | 52 · Reduced service | $13.18 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $6.17 Typical High $6.31 | Professional | 55 · Aftercare only | $3.89 | $6.17 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $4.07 Typical High $4.27 | Professional | 56 · Pre-op care only | $2.63 | $4.07 | $4.27 |
Where Utah sits
The same service costs 2.4 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· 17th of 51
$47.86
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.