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 $72.44 Median $389.05 Typical High $501.19 | Facility | None | $72.44 | $389.05 | $501.19 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $36.31 Median $194.98 Typical High $251.19 | Facility | 52 · Reduced service | $36.31 | $194.98 | $251.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $77.62 Typical High $102.33 | Facility | 53 · Discontinued | $14.45 | $77.62 | $102.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $53.70 Median $288.40 Typical High $380.19 | Facility | 54 · Surgery only | $53.70 | $288.40 | $380.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $57.54 Typical High $75.86 | Facility | 55 · Aftercare only | $10.72 | $57.54 | $75.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $38.90 Typical High $50.12 | Facility | 56 · Pre-op care only | $7.24 | $38.90 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $107.15 | Professional | None | $64.57 | $72.44 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $36.31 Typical High $60.26 | Professional | 52 · Reduced service | $34.67 | $36.31 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $22.91 | Professional | 53 · Discontinued | $13.80 | $14.45 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $53.70 Typical High $87.10 | Professional | 54 · Surgery only | $51.29 | $53.70 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.72 Typical High $17.38 | Professional | 55 · Aftercare only | $10.23 | $10.72 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.24 Typical High $11.48 | Professional | 56 · Pre-op care only | $6.92 | $7.24 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $331.13 | Facility | None | $100.00 | $123.03 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $147.91 | Professional | None | $60.26 | $60.26 | $147.91 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $158.49 | Professional | None | $64.57 | $64.57 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $114.82 Median $131.83 Typical High $467.74 | Facility | None | $114.82 | $131.83 | $467.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $102.33 | Professional | None | $54.95 | $87.10 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Select Health Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $147.91 | Professional | None | $79.43 | $114.82 | $147.91 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $169.82 | Professional | None | $63.10 | $91.20 | $169.82 |
United Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $69.18 | Professional | None | $33.88 | $48.98 | $69.18 |
Where Utah sits
The same service costs 4.9 times more in Alaska than in Georgia. 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· 42nd of 51
$77.62
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.