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 $70.79 Typical High $83.18 | Facility | None | $63.10 | $70.79 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $104.71 | Professional | None | $63.10 | $81.28 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $151.36 | Professional | None | $79.43 | $85.11 | $151.36 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $100.00 | Professional | None | $74.13 | $85.11 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $120.23 | Professional | None | $79.43 | $85.11 | $120.23 |
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 $67.61 Median $112.20 Typical High $190.55 | Professional | None | $67.61 | $112.20 | $190.55 |
United Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $114.82 | Professional | None | $69.18 | $91.20 | $114.82 |
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 $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.72 Typical High $10.96 | Professional | 55 · Aftercare only | $9.33 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.08 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.17 | $7.08 | $7.41 |
Where Utah sits
The same service costs 2.3 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· 24th of 51
$83.18
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.