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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | None | $60.26 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $177.83 | Facility | None | $85.11 | $95.50 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $93.33 | Professional | None | $60.26 | $72.44 | $93.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $309.03 | Facility | None | $177.83 | $223.87 | $309.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Select Health Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $141.25 | Professional | None | $47.86 | $61.66 | $141.25 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $123.03 | Professional | None | $58.88 | $75.86 | $123.03 |
United Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
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 $30.20 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $30.20 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $9.12 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.03 | $6.92 | $6.92 |
Where Utah sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 28th of 51
$66.07
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.