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 $794.33 Median $891.25 Typical High $1,047.13 | Facility | None | $794.33 | $891.25 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,047.13 | Professional | None | $794.33 | $891.25 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,412.54 | Professional | None | $977.24 | $1,174.90 | $1,412.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $4,365.16 | Facility | None | $2,398.83 | $3,090.30 | $4,365.16 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.88 Median $95.50 Typical High $1,380.38 | Professional | None | $33.88 | $95.50 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $1,047.13 | Professional | None | $32.36 | $37.15 | $1,047.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $40.74 Median $1,445.44 Typical High $2,570.40 | Professional | None | $40.74 | $1,445.44 | $2,570.40 |
United Setting Professional Modifier None Typical Low $23.99 Median $891.25 Typical High $1,584.89 | Professional | None | $23.99 | $891.25 | $1,584.89 |
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 $512.86 Median $524.81 Typical High $537.03 | Professional | 52 · Reduced service | $512.86 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 53 · Discontinued | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $107.15 |
Where Utah sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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· 12th of 51
$1,072
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.