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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | None | $25.12 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $34.67 | Facility | None | $26.92 | $30.20 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $32.36 | Professional | None | $16.60 | $22.91 | $32.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Select Health Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $28.18 | Professional | None | $19.95 | $25.70 | $28.18 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $29.51 | Professional | None | $22.39 | $27.54 | $29.51 |
United Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
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 $12.59 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $12.59 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.01 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $3.80 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.51 | $2.88 | $2.88 |
Where Utah sits
The same service costs 1.9 times more in Wyoming than in Arizona. 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
$25.12
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.