How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.68 Median $0.68 Typical High $0.68 | Facility | None | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier None Typical Low $0.56 Median $0.68 Typical High $0.68 | Professional | None | $0.56 | $0.68 | $0.68 |
Cigna Setting Facility Modifier None Typical Low $0.41 Median $0.52 Typical High $0.74 | Facility | None | $0.41 | $0.52 | $0.74 |
Cigna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Molina Setting Professional Modifier None Typical Low $0.35 Median $0.58 Typical High $0.72 | Professional | None | $0.35 | $0.58 | $0.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | None | $0.63 | $0.63 | $0.63 |
Select Health Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Facility | None | $0.62 | $0.62 | $0.62 |
Select Health Setting Professional Modifier None Typical Low $0.46 Median $0.60 Typical High $0.60 | Professional | None | $0.46 | $0.60 | $0.60 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $0.42 Median $0.63 Typical High $8.51 | Professional | None | $0.42 | $0.63 | $8.51 |
United Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
2 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 55 · Aftercare only Typical Low $0.09 Median $0.10 Typical High $0.10 | Professional | 55 · Aftercare only | $0.09 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.06 | $0.07 | $0.07 |
Where Utah sits
The same service costs 1.9 times more in Wyoming than in Oklahoma. 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· 13th of 51
$0.63
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.