How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $63.10 Typical High $95.50 | Facility | None | $63.10 | $63.10 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $107.15 | Professional | None | $63.10 | $95.50 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $125.89 | Professional | None | $70.79 | $104.71 | $125.89 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $138.04 | Professional | None | $97.72 | $112.20 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $204.17 | Facility | None | $134.90 | $151.36 | $204.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $128.82 | Professional | None | $72.44 | $97.72 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $107.15 | Professional | None | $72.44 | $83.18 | $107.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $199.53 | Professional | None | $83.18 | $125.89 | $199.53 |
United Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $151.36 | Professional | None | $61.66 | $93.33 | $151.36 |
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 $31.62 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $31.62 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.88 Typical High $14.45 | Professional | 55 · Aftercare only | $9.33 | $12.88 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.51 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.31 | $8.51 | $9.55 |
Where Utah sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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
$105
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.