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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $660.69 | Professional | None | $102.33 | $102.33 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $60.26 | Professional | None | $44.67 | $60.26 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $5,495.41 | Facility | None | $3,019.95 | $3,801.89 | $5,495.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $281.84 | Professional | None | $173.78 | $186.21 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $120.23 | Professional | None | $58.88 | $74.13 | $120.23 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,122.02 | Professional | None | $812.83 | $954.99 | $1,122.02 |
United Setting Professional Modifier None Typical Low $67.61 Median $199.53 Typical High $794.33 | Professional | None | $67.61 | $199.53 | $794.33 |
4 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 $51.29 Median $51.29 Typical High $323.59 | Professional | 52 · Reduced service | $51.29 | $51.29 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $131.83 | Professional | 53 · Discontinued | $20.89 | $20.89 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $97.72 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $66.07 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $66.07 |
Where Utah sits
The same service costs 7.6 times more in Colorado than in Rhode Island. 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
$186
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.