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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.55 Typical High $9.55 | Professional | None | $8.32 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $9.77 Typical High $15.14 | Facility | None | $8.71 | $9.77 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Molina Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $11.22 | Professional | None | $7.41 | $8.13 | $11.22 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.60 Median $22.91 Typical High $33.88 | Facility | None | $16.60 | $22.91 | $33.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Select Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Select Health Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $23.44 | Professional | None | $6.61 | $8.51 | $23.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $26.30 | Professional | None | $7.94 | $8.91 | $26.30 |
United Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
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 $4.17 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.17 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.66 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.45 Typical High $1.45 | Professional | 55 · Aftercare only | $1.23 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.95 Typical High $0.95 | Professional | 56 · Pre-op care only | $0.83 | $0.95 | $0.95 |
Where Utah sits
The same service costs 1.9 times more in Wyoming 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· 24th of 51
$8.71
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.