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 $53.70 Median $53.70 Typical High $81.28 | Facility | None | $53.70 | $53.70 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $95.50 | Professional | None | $53.70 | $81.28 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $112.20 | Professional | None | $61.66 | $89.13 | $112.20 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $104.71 | Professional | None | $72.44 | $85.11 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $181.97 | Facility | None | $123.03 | $134.90 | $181.97 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $114.82 | Professional | None | $66.07 | $87.10 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $97.72 | Professional | None | $67.61 | $75.86 | $97.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $177.83 | Professional | None | $72.44 | $114.82 | $177.83 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $138.04 | Professional | None | $57.54 | $81.28 | $138.04 |
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 $26.92 Median $38.02 Typical High $40.74 | Professional | 52 · Reduced service | $26.92 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.48 Typical High $12.30 | Professional | 55 · Aftercare only | $8.13 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.76 Typical High $8.13 | Professional | 56 · Pre-op care only | $5.37 | $7.76 | $8.13 |
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· 36th 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.