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 $97.72 Median $112.20 Typical High $131.83 | Facility | None | $97.72 | $112.20 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $162.18 | Professional | None | $97.72 | $112.20 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $177.83 | Professional | None | $112.20 | $112.20 | $177.83 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $69.18 | Professional | None | $51.29 | $57.54 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $144.54 | Professional | None | $81.28 | $95.50 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None | $70.79 | $70.79 | $97.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $194.98 | Professional | None | $77.62 | $123.03 | $194.98 |
United Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $158.49 | Professional | None | $97.72 | $114.82 | $158.49 |
3 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 $39.81 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $39.81 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $11.75 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.94 | $10.00 | $10.00 |
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· 35th of 51
$100
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.