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 $1.20 Median $1.20 Typical High $1.20 | Facility | None | $1.20 | $1.20 | $1.20 |
Aetna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $2.14 | Professional | None | $1.20 | $1.20 | $2.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.60 Median $0.60 Typical High $1.20 | Professional | 52 · Reduced service | $0.60 | $0.60 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.24 Typical High $0.48 | Professional | 53 · Discontinued | $0.24 | $0.24 | $0.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.18 Typical High $0.36 | Professional | 55 · Aftercare only | $0.18 | $0.18 | $0.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.24 |
Aetna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | AU · Urologic/ostomy supply | $1.20 | $1.20 | $1.20 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Molina Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $60.26 | Professional | None | $2.69 | $2.69 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Regence BlueShield Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | AU · Urologic/ostomy supply | $2.63 | $2.63 | $2.63 |
Select Health Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Select Health Setting Professional Modifier None Typical Low $3.72 Median $3.80 Typical High $3.98 | Professional | None | $3.72 | $3.80 | $3.98 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2.45 Median $3.80 Typical High $5.62 | Professional | None | $2.45 | $3.80 | $5.62 |
United Setting Professional Modifier None Typical Low $1.45 Median $1.86 Typical High $3.63 | Professional | None | $1.45 | $1.86 | $3.63 |
Where Utah sits
The same service costs 4.4 times more in Minnesota than in New Hampshire. 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· 47th of 51
$1.86
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.