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 $63.10 Median $72.44 Typical High $83.18 | Facility | None | $63.10 | $72.44 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $104.71 | Professional | None | $63.10 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $147.91 | Professional | None | $81.28 | $87.10 | $147.91 |
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 $77.62 Median $83.18 Typical High $117.49 | Professional | None | $77.62 | $83.18 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None | $67.61 | $67.61 | $91.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $61.66 Median $109.65 Typical High $223.87 | Professional | None | $61.66 | $109.65 | $223.87 |
United Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $117.49 | Professional | None | $69.18 | $91.20 | $117.49 |
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 $30.90 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $9.12 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.17 | $7.24 | $7.24 |
Where Utah sits
The same service costs 2.4 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
$77.62
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.