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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | None | $28.84 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $34.67 Typical High $39.81 | Facility | None | $30.90 | $34.67 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $37.15 | Professional | None | $24.55 | $26.30 | $37.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.11 Median $46.77 Typical High $83.18 | Facility | None | $33.11 | $46.77 | $83.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $35.48 | Professional | None | $22.91 | $30.20 | $35.48 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $50.12 | Professional | None | $26.30 | $31.62 | $50.12 |
United Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
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 $14.45 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $14.45 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $4.37 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $2.88 | $3.31 | $3.31 |
Where Utah sits
The same service costs 2.8 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· 41st of 51
$28.84
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.