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 $39.81 Median $63.10 Typical High $4,570.88 | Facility | None | $39.81 | $63.10 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $63.10 | Professional | None | $30.20 | $43.65 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | None | $48.98 | $56.23 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $31.62 Median $51.29 Typical High $67.61 | Professional | None | $31.62 | $51.29 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $97.72 | Professional | None | $39.81 | $67.61 | $97.72 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $81.28 | Professional | None | $32.36 | $50.12 | $81.28 |
5 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 $17.38 Median $19.95 Typical High $31.62 | Professional | 52 · Reduced service | $17.38 | $19.95 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $12.59 | Professional | 53 · Discontinued | $7.08 | $7.94 | $12.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $30.20 Typical High $46.77 | Professional | 54 · Surgery only | $26.30 | $30.20 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $6.03 Typical High $9.33 | Professional | 55 · Aftercare only | $5.25 | $6.03 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.98 Typical High $6.31 | Professional | 56 · Pre-op care only | $3.55 | $3.98 | $6.31 |
Where Utah sits
The same service costs 2.8 times more in Alaska than in California. 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· 25th of 51
$54.95
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.