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 $114.82 Median $123.03 Typical High $9,549.93 | Facility | None | $114.82 | $123.03 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $154.88 | Professional | None | $97.72 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,801.89 Typical High $5,011.87 | Facility | None | $3,388.44 | $3,801.89 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $173.78 | Professional | None | $128.82 | $138.04 | $173.78 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $134.90 | Professional | None | $97.72 | $112.20 | $134.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $234.42 | Professional | None | $177.83 | $208.93 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $436.52 | Professional | None | $114.82 | $245.47 | $436.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $309.03 | Professional | None | $117.49 | $181.97 | $309.03 |
United Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $181.97 | Professional | None | $102.33 | $123.03 | $181.97 |
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 $47.86 Median $56.23 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $16.98 Typical High $18.62 | Professional | 55 · Aftercare only | $14.45 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $11.48 Typical High $12.30 | Professional | 56 · Pre-op care only | $9.55 | $11.48 | $12.30 |
Where Utah sits
The same service costs 2.7 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· 23rd of 51
$129
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.