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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | None | $158.49 | $158.49 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $60.26 | Professional | None | $30.20 | $30.20 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $1,000.00 | Facility | None | $549.54 | $676.08 | $1,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $263.03 | Professional | None | $190.55 | $199.53 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $208.93 | Professional | None | $165.96 | $186.21 | $208.93 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $338.84 | Professional | None | $204.17 | $239.88 | $338.84 |
United Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $295.12 | Professional | None | $165.96 | $204.17 | $295.12 |
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 $79.43 Median $79.43 Typical High $120.23 | Professional | 52 · Reduced service | $79.43 | $79.43 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $47.86 | Professional | 53 · Discontinued | $31.62 | $31.62 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $23.99 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 27th of 51
$200
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.