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 $10.96 Median $10.96 Typical High $23.44 | Facility | None | $10.96 | $10.96 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $23.44 | Professional | None | $9.33 | $13.18 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None | $23.44 | $28.18 | $34.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.51 Median $19.50 Typical High $26.92 | Professional | None | $8.51 | $19.50 | $26.92 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Select Health Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $22.91 | Professional | None | $9.33 | $11.48 | $22.91 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $10.23 Median $26.92 Typical High $47.86 | Professional | None | $10.23 | $26.92 | $47.86 |
United Setting Professional Modifier None Typical Low $8.13 Median $18.20 Typical High $30.90 | Professional | None | $8.13 | $18.20 | $30.90 |
2 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 55 · Aftercare only Typical Low $1.66 Median $2.00 Typical High $3.55 | Professional | 55 · Aftercare only | $1.66 | $2.00 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.38 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.10 | $1.38 | $2.34 |
Where Utah sits
The same service costs 3.8 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· 8th of 51
$23.99
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.