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 $138.04 Median $154.88 Typical High $181.97 | Facility | None | $138.04 | $154.88 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $194.98 | Professional | None | $134.90 | $154.88 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $234.42 | Professional | None | $165.96 | $194.98 | $234.42 |
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 Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $331.13 | Facility | None | $199.53 | $223.87 | $331.13 |
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 $141.25 Median $186.21 Typical High $724.44 | Professional | None | $141.25 | $186.21 | $724.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $501.19 | Professional | None | $138.04 | $218.78 | $501.19 |
United Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $223.87 | Professional | None | $134.90 | $165.96 | $223.87 |
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 $77.62 Median $77.62 Typical High $91.20 | Facility | 52 · Reduced service | $77.62 | $77.62 | $91.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $27.54 | Facility | 55 · Aftercare only | $23.44 | $23.44 | $27.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $18.20 | Facility | 56 · Pre-op care only | $15.49 | $15.49 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $18.20 |
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
$158
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.